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No. 7571172 Name URCIULLO, Santina residing at 44 Tremont Street, New Britain, Conn. Date of birth 3/16/35 Date of order of admission 1/22/59 Date certificate issued January 22, 1959 by the Superior Court at New Britain Petition No. 6080 Alien Registration No. A8 508 022 022 Santina Urainllo (Complete and true signature of holder)

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