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R. No. 7442370 Name TAMPLARU, Annaliese residing at 201 Migeon Ave. Torrington, Conn. Date of birth Jul 15 1922 Date of order of admission Mar. 12, 1957 Date certificate issued March 12th, 1957 by the Superior Court at Winsted, Connecticut Petition No. 6987 Alien Registration No. A8 049 086 Museliese Tamplarn (Complete and true signature of holder)

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