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No. 7643851 Name WOLF, Theresa residing at 110 Timothy St., Newington, Conn. Date of birth 10/12/91 Date of order of admission 4/12/60 Date certificate issued April 12, 1960 by the Superior Court at New Britain Petition No. 6255 Alien Registration No. A2 277 334 Jhovern (Complete Walf and signature true of holder)

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