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No. 9321336 Name VALENTINE, Filomena residing at 182 Gold Street, New Britain, Conn. Date of birth 8/9/22 Date of order of admission 1/6/72 Date certificate issued January 6, 1972 by the Superior Court at New Britain Petition No. 8166 Alien Registration No A14 317 691 Filamena Varlentine (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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