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R. No. 7565982 Name SZERETO, Maria residing at 19 Park Place, Winsted, Conn Date of birth Oct. 21, 1900 Date of order of admission June 5, 1957 Date certificate issued June 5, 1957 by the Superior Court at Winsted, Connecticut Petition No. 7043 Alien Registration No. A8 280 231 Marier Pzereto (Complete and true signature of holder)

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