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No. 8842068 R Name GUILBEAULT, Hannelore Christel Margot residing at 74 Baum Drive, Thomaston, Connecticut Date of birth Dec. 18, 1940 Date of order of admission Nov. 10, 1970 Date certificate issued November 10, 1970 by the Superior Court at Litchfield, Connecticut, Petition No. 7799 Alien Registration No. All 488 550 Thannelve (COMPLETE Christil AND TRUE margel SIGNATURE OF guilbeault HOLDER)

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