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No. 8842152 Name LOGINS, Lidija residing at Rt. 4, Box 25, Willimantic, Connecticut 1951 Date of birth Feb. 27, Date of order of admission Nov. 4, 1971 Date certificate issued November 4, 1971 by the Superior Court at Putnam, Connecticut Petition No. 5669 Alien Registration No. A8 209420 Lidya (COMPLETE AND Logins TRUE SIGNATURE OF HOLDER)

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