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No. 6823644
Name FRIESE, Katherine
residing at Homer St. Norwalk, Conn.
Date of birth 12/10/04
Date of order of admission 11/21/51
Date certificate issued
Nov. 21, 1951
by the
Superior
Court at
Bridgeport, Conn.
Petition No. 37382
Alien Registration No. 1615956
Kallerine Friese
(Complete and true signature of holder)
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Document identity
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