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No. 6810814 Name LEADER, Ellen Elizabeth residing at 7 Fremont St., Putnam, Conn. Date of birth Sep.2,1904 Date of order of admission Dec. 7,1949 Date certificate issued December 7, 1949 by the Superior Court at Windham' Conn. Petition No. 4198 Alien Registration No. 2118882 E llew Elizabeth Leader (Complete and true signature of holder)

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