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No. 8821241 Name SEELING, Lewis Roy residing at Parkland Drive, Woodbury, Conn. Aug. 27, 1919 Date of birth Date of order of admission Feb. 8, 1968 Date certificate issued February 8, 1968 by the Superior Court at Litchfield, Conn. Petition No. 7729 Alien Registration No. A12 302 221 with Lewis (COMPLETE AND Roy TRUE SIGNATURE Seeling OF HOLDER)

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