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No. 6469590 Name LIPPENS Theodore residing at R.F.D. 1, Brooklyn, Conn. Age47 years. Date of order of admission December 7, 1945 Date certificate issued December 7, 1945 by the Superior Court at Willimantic, Conn. Petition No. 3917 Alien Registration No. 5353751 Theodore Liphone (Complete and true signature of holder)

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