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No. 8841712 R Name HILFIKER, Margrit residing at Hopkins Inn, New Preston, Connecticut, Date of birth Aug. 24, 1939 Date of order of admission Apr. 23, 1970 Date certificate issued April 23, 1970 by the Superior Court at Litchfield, Connecticut, Petition No. 7797 Alien Registration No. A14 307 076 Margrit (COMPLETE Hilfiker AND TRUE SIGNATURE OF HOLDER)

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