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R. No. 7565981 Name KAROLYI, Maria Magdelene residing at 19 Park Place, Winsted, Conn Date of birth Apr. 3, 1924 Date of order of admission June 5, 1957 Date certificate issued June 5, 1957 by the Superior Court at Winsted, Connecticut Petition No. 7042 Alien Registration No. A8 280 236 Meria llegdalene Karolyi (Complete and true signature of holder)

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