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No. 8481803 Name MANGIAFICO, Connie residing at 75 Broad Street, New Britain, Conn. Date of birth 11/2/43 Date of order of admission 6/17/64 Date certificate issued June 17, 1964 by the Superior Court at New Britain Petition No. 6969 Alien Registration No. A10 925 359 Conne (COMPLETE Mangiafari AND TRUE SIGNATURE OF HOLDER)

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