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No. 9013358 Name VALENTE, Rosa residing at 293 Broad Street, New Britain, Conn. Date of birth 12/1/06 Date of order of admission 4/24/69 Date certificate issued April 24, 1969 by the Superior Court at New Britain Petition No. 7755 Alien Registration NoA8 424 097 Rosa Valente (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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