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No. 7442315 Name JACOBSEN, Rasmus residing at Sharon, Connecticut Date of birth Mar. 9, 1898 Date of order of admission Nov 21, 1956 Date certificate issued November 21, 1956 by the Superior Court at Winsted, Connecticut Petition No. 6923 Alien Registration No. A4 340 400 Rasmus (Complete and Jacobson true signature of holder)

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Document identity
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