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No. 7094108 Name SIAMETES, Simon residing at 86 Water St., Torrington, Conn. Date of birth Jun 11 1891 Date of order of admission Dec. 10, 1954 Date certificate issued December 10th, 1954 by the Superior Court at Winsted, Connecticut Petition No. 6717 Alien Registration No. Simon 2 462 901 Sametis (Complete and true signature of holder) 7054

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