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No. 7049173
Name HAWORTH, Ada
residing at 30 Glendale Drive, Glenbrook, Conn.
Date of birth 2/8/09
Date of order of admission 6/3/52
Date certificate issued
June 3, 1952
by the
Superior
Court at
Bridgeport Conn.
Petition No.
37924
Alien Registration No. 6.229.411
ada Haworth
(Complete and true signature of holder)
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Document identity
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Page context
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