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No. 7566274 Name ZERVOS, Zack residing at 618 Main Street, New Britain, Conn. Date of birth 3/26/31 Date of order of admission 9/24/57 Date certificate issued September 24, 1957 by the Superior Court at New Britain Petition No. 5801 Alien Registration No. AR8 061 481 Jack zerors (Complete and true signature of holder)

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