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No. 6466871 Name DiMICHELE, Concetta Jennie rol 73 Pg117 residing at 722 East Main Street, Waterbury, Connecti- cut Age 37 years. Date of order of admission November 5, 1947 Date certificate issued November 5, 1947 by the Superior Court at Waterbury, Connecticut Petition No. 4117 Alien Registration No. 3774163 Concetta Sennie Dimichele (Complete and true signature of holder)

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