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No. 6816651 Name DUBE, Francois Clement rol 14 Pa97 Dict 36Pg492 residing at Fern Avenue, Wolcott, Connecticut Date of birth Jan. 7, 1898ate of order of admission Nov. 2, 1949 Date certificate issued November 2, 1949 by the Superior Court at Waterbury, Connecticut Petition No. 4347 Alien Registration No. 4872400 Elrancois Clement Dube (Complete and true signature of holder)

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