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No. 8481465 Name Da SILVA, Ermegarde Vol. 82, Pg. 57 residing atDogwood Drive, PROSPECT, Conn. Date of birth an. 15, 1939ate of order of admission Jan. 16, 1963 Date certificate issued January 16, 1963 by the SUPERIOR Court at WATERBURY, CONNECTICUT Petition No. 6970 Alien Registration NA8 306067 VErmegarch (COMPLETE AND TRUE Da SIGNATURE Silva OF HOLDER)

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