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R. No. 7855305 Name WANATOWICZ, Elizabeth Helen residing at 20 Colorado Ave., Torrington, Connecticut Date of birth July 8, 1905 Date of order of admission Feb. 19,1959 Date certificate issued February 19, 1959 by the Superior Court at Litchfield, Connecticut Petition No. 7159 Alien Registration No.2-795155 (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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