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No. 7150410 Name LARSON, MARCELLA LEONTINE residing at Pomfret Center, Conn. Date of birthSept.23,1923ate of order of admission Oct.20,1953 Date certificate issued October 20, 1953, by the Superior Court at Putnam, Conn. Petition No. 4502 Alien Registration No. 6 754 306 Marcelle Seontine Larson (Complete and true signature of holder)

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Document identity
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Page context
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