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No. 8412710
Name ZOTOS, Aspasia
Vol.82,Pg.201
residing at 20 Steuben Street, Waterbury, Conn.
Date of birth Oct.27, Oct. 27, 1940ate of order of admissionan.15,1964
Date certificate issued January 15, 1964
by the
SUPERIOR
Court at WATERBURY, CONNECTICUT
Petition No. 7114
Alien Registration NA10 926 762
Vainasio Zotok
(COMPLETE AND TRUE SIGNATURE OF HOLDER)
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