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No. 7570929 Name MAS, Josefa residing at 120 Lafayette St., New Britain, Conn. Date of birth 10/1/01 Date of order of admission 1/8/58 Date certificate issued January 8, 1958 by the Superior Court at New Britain Petition No. 5780 Alien Registration No. A7 285 221 Josefa (Complete Mar and true signature of holder)

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Document identity
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Page context
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