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R. No. 8283963 Name GIAMBERSIO, Donato residing at 149 Woodbine St., Torrington, Connecticut Date of birthJan. 29, 1945 Date of order of admission June 4, 1963 Date certificate issued June 4, 1963 by the Superior Court at Litchfield, Connecticut Petition No. 7464 Alien Registration No. A10 040 477 Donato Diambersio (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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