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No. 7571612
Name DON, Eric George
VOL. 79, Pg.222
residing at 38 Canal Street, Waterbury,-Connecticut
Date of birt Sept, 12, 1918Date of order of admission Apr.15,1958
Date certificate issued April 15, 1958
by the
SUPERIOR
Court at WATERBURY, CONNECTICUT
Petition No. 6122
Alien Registration No. A8 790 731
Bric (Complete George and true signature of holder) Dan
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