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No. 7230979 Name BENCZE, Mari residing at 429 Bostwick Ave. Bridgeport, Conn. Date of birth 10/15/86 Date of order of admission 11/11/54 Date certificate issued Nov. 11, 1954 by the Superior Court at Bridgeport, Conn. Petition No. 39665 Alien Registration No. A3 596 238 mani Bencye (Complete and true signature of holder)

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