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No. 6823586
Name
COOK, Helen
residing at 86 Homestead Ave.Bridgeport, Conn.
Date of birth 4/6/98
Date of order of admission 11/21/51
Date certificate issued
Nov. 21, 1951
by the
Superior
Court at
Bridgeport, Conn.
Petition No. 37308
Alien Registration No.
2441513
Helen cook
(Complete and true signature of holder)
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Document identity
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