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No. 6752399
Name
PELLETIER, Rose Anna
residing at 209 Three Rows, No. Grosvenordale, Conn
Date of birth Apr . 30,1879 Date of order of admission Sep. .17,1947
Date certificate issued
Sept. 17, 1947
by the
Superior
Court at Putnam, Conn.
Petition No. 4087
Alien Registration N2206550
BoreAnna Pelletion
(Complete and true signature of holder)
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Document identity
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Document source metadata
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Document source extras
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