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No. 7147609 Name VALENTI, Anna residing at 477 Burritt Street, New Britain, Conn. Date of birth 3/15/10 Date of order of admission 9/29/53 Date certificate issued September 29th, 1953 by the Superior Court at New Britain Petition No. 4951 Alien Registration No. A2 405 070 assea Valenti (Complete and true signature of holder)

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