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No. 6752355 Name LAVOIE, Gemma residing at No. Grosvenordale, Conn. Date of birthMar .13,1922 Date of order of admission Mar. 25, 19-47 Date certificate issued Mar.25, 1947 by the Superior Court at Windham, Conn. Petition No. 4043 Alien Registration No. 2576253 Esemma Lavoie (Complete and true signature of holder)

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Document identity
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