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No. 6791596 Name MORRISSETTE, Martha Caron residing at Bitgood Ave., Moosup, Conn. Date of birth Apr 25,1895 Date of order of admission June 17,1949 Date certificate issued June 17, 1949 by the Superior Court at Windham Conn. Petition No. 4181 Alien Registration No. 3672590 Martha Caron Momasette (Complete and true signature of holder)

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