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No. 8824651 Name VANDERSTEENEN, Anna residing at 26 Erwin Place, New Britain, Conn. Date of birth 5/17/33 Date of order of admission 4/25/68 Date certificate issued April 25, 1968 by the Superior Court at New Britain Petition No. 7644 Alien Registration No. All 482 990 Anna Vendersteenen (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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