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No. 7041930 Name NACSIN, LILLIAN IRENE residing at 11 Taylor's Court, Willimantic, Conn. 1913 Date of birth Sept. 12, Date of order of admission Nov. 26, 1952 Date certificate issued November 26, 1952, by the Superior Court at Putnam, Conn. Petition No. 4367 Alien Registration No. A-2_154_ 132 Lillian Irene Nacron (Complete and true signature of holder)

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