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R No. 9587659 Name HOLMES, Pauline Pearl residing at Mountain Road, Woodbury, Connecticut Date of birth Jan. 19, 1923 Date of order of admission Feb. 10, 1972 Date certificate issued February 10, 1972 by the Superior Court at Litchfield, Connecticut Petition No. 7856 Alien Registration No. 6692410 Pauline Peacl Halmes (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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