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No. 6976022
Name Mark, William
residing at Porchuk Road, Greenwich, Conn.
Date of birth 9/5/02
Date of order of admission 3/11/52
Date certificate issued
Mar. 11, 1952
by the
Superior
Court at Bridgeport Conn.
Petition No. 37501
Alien Registration No. 1402157
Hilliam mark
(Complete and true signature of holder)
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Document identity
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