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No. 7565973 Name ZERMATI, Reine residing at 79 Washington Avenue, Torrington, Conn. Date of birth Sept. 15, 1922 Date of order of admission June 5, 1957 Date certificate issued June 5, 1957 by the Superior Court at Winsted, Conn. Petition No. 7033 Alien Registration No. A8 234 670 Reine Zermati (Complete and true signature of holder)

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Document identity
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