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R No. 7442330 Name SEBBEN, Costantina residing at Lincoln City Rd., Lakeville, Conn. Date of birth May 7,1928 Date of order of admission Nov 21, 1956 Date certificate issued November 21, 1956 by the Superior Court at Winsted, Connecticut Petition No. 6941 Alien Registration No. A6 309 239 Costantino Lebber (Complete and true signature of holder)

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Document identity
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