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No. 7644193 Name MENOUNOS. Athanasios Peter residing at 49 Water Street, Danielsoo, Connecticut Date of birth 6/10/1930 Date of order of admission 11/8/1961 Date certificate issued November 8, 1961 by the Superior Court at Putnam, Connecticut Petition No. 5283 Alien Registration No.A10 0_038-773 Athanasies peter Mencinos (Complete and true signature of holder)

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