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FeD. 25, 1950
NO. 1104
Larsen, VIII And
No. 6819566
Name
LARSEN, Olif Andrew
residing at 106 Spring St., Meriden, Conn.
Date of birth Jan. $27,1891 Date of order of admission 5/25/50
Date certificate issued May 25, 1950
by the
Superior
Court at Meriden, Conn.
Petition No.
1104
Alien Registration No. 3571337
(Complete and true Larm signature of
holder)
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