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No. 7231024 Name DAVIDSON, Elizabeth Channell residing at 15 Middlebury St. Stamford, Conn. Date of birth 12/11/22 Date of order of admission 11/11/54 Date certificate issued Nov 11, 1954 by the Superior Court at Bridgeport, Conn. Petition No. 39723 Alien Registration No. A6 428.316 Elizabeth (Complete and true signature of holder)

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