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No. 8286637 Name MARKOW, Teresa residing at 27 Lyman Street, New Britain, Conn. Date of birth 1/6/40 Date of order of admission 11/8/62 Date certificate issued Nov ember 8, 1962 by the Superior Court at New Britain Petition No. 6713 Alien Registration No. All 054 850 Tersa workerw (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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