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No. 6975953 Name CONETTA, Mary residing at 81 Forest St. New Canaan, Conn. Date of birth 12/27/89 Date of order of admission 1/15/52 Date certificate issued Jan. 15, 1952 by the Superior Court at Bridgeport, Conn. Petition No. 37446 Alien Registration No. 1376470 mary cometta (Complete and true signature of holder)

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Document identity
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