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No. 7597505 Name OJA, Sylvia Sofia residing at R.F. D.#2, Pomfret Center Connecticut, Date of birthAug.12,1918 a Date of order of admissions June 13,1956 Date certificate issued June 13, 1956, by the Superior Court at Putnam, Connecticut, Petition No. 4791 Alien Registration No. A7 291 517 Syhra Sopia Gjou (Complete and true signature of holder)

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