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No. 7150 482
Name PELLEBIN, Noella Irene
residing at 51 Grove Street, Wauregan, Connecticut.
Date of birthNov.19,1907 Date of order of admission May 25, 1954
Date certificate issued
May 25th, 1954,
by the
Superior
Court at Putnam, Connecticut,
Petition No. 4580
Alien Registration No. 5-761727
noella Drene Pellerin
(Complete and true signature of holder)
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Document identity
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Document source metadata
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