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No. 7570989 Name VARNEY, Velta residing at 81 Winter Street, New Britain, Conn. Date of birth 7/4/37 Date of order of admission 4/8/58 Date certificate issued April 8, 1958 by the Superior Court at New Britain Petition No. 5838 Alien Registration No. A7-337 212 Velta (Complete Vamey and true signature of holder)

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