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No. 8481623 Name PIHT, Eduard residing at Davis Street, Danielson, Connecticut Date of birth 8/7/1906 Date of order of admission 11/6/1963 Date certificate issued November 6, 1963 by the Superior Court at Putnam, Connecticut Petition No. 5361 Alien Registration No. A6 971 770 Educard Pint (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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