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No. 6975331 Name LAFONTAINE, Robert residing at 12 Park Street, Meriden, Conn. Date of birth 9/6/1923 Date of order of admission 11/5/52 Date certificate issued November 5th, 1952 by the Superior Court at Meriden, Conn. Petition No. 1172 Alien Registration No. A6 528 446 Roberh (Complete and true signature of holder)

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Document identity
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