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No. 7230983 Name MARY, Dorothy residing at 39 Old Field Point Road, Greenwich, Conn. Date of birth 11/3/97 Date of order of admission 11/11/54 Date certificate issued Nov. 11, 1954 by the Superior Court at Bridgeport, Conn. Petition No. 39670 Alien Registration No. A6 958 928 L. bonsthy many (Complete and true signature of holder)

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