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No. 7041941
Name NYBURN, ELSA
residing at Box 205, Brooklyn, Conn.
1891
Date of birth Oct. 28,
Date of order of admission Nov.26,1952
Date certificate issued
November 26, 1952,
by the
Superior
Court at
Putnam, Conn.
Petition No. 4377
Alien Registration No. A-1 824 466
Else nyburn
(Complete and true signature of holder)
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Document identity
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