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R No. 7442263 Name STACK, Debora residing at Main St. Woodbury, Connecticut Date of birth Nov. 27, 1921 Date of order of admission June 15 1956 Date certificate issued June 15th, 1956 by the Superior Court at Winsted, Connecticut Petition No. 6874 Alien Registration No. A6.733.264 Debora Stack (Complete and true signature of holder)

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