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No. 7571473 Name MAKIPURO, Hannu Olavi residing at R.F.D. Box 77, Sterling, Connecticut Date of birth 3/14/38 Date of order of admission 11/21/58 Date certificate issued November 21, 1958 by the Superior Court at Putnam, Connecticut Petition No. 5062 Alien Registration No. A8 490 477 Hamu blacin Makipuns (Complete and true signature of holder)

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