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No. 6490258 Name LUUKAS Amanda residing at R.F.D.#1 Canterbury Conn. Age 62 years. Date of order of admission May 29 $946 Date certificate issued May 29,1946 by the Superior Court at Putnam, Conn. Petition No. 4003 Alien Registration No. 3359378 Assanda Dumbas (Complete and true signature of holder)

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