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No. 7565927 Name MATTEAU, Clement Louis residing at R.F.D. #1, Plainfield, Conn. Date of birth Apr 20, 1934 Date of order of admission Feb 20, 1957. Date certificate issued February 20, 1957, by the Superior Court at Windham, Connecticut. Petition No. 4918 Alien Registration No. A6 740 138 6liment Jouin III attacus (Complete and true signature of holder)

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Document identity
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