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No. 7571533 Name MATTEAU, Lione 1 residing at 3 Como Street, Plainfield, Connecticut Date of birth9/12/1917 Date of order of admission 9/15/1959 Date certificate issued September 15, 1959 by the Superior Court at Putnam, Connecticut Petition No. 5124 Alien Registration No. A8 119 837 Sianne Meatheaw (Complete and true signature of holder)

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