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No. 8842130 Name MIKAILA, Ann Barbara Immaculate Conception Convent residing at Putnam, Connecticut 1944 Date of birth Oct.31, Date of order of admission Nov. 5. 1970 Date certificate issued November 5, 1970 by the Superior Court at Putnam, Connecticut Petition No. 5648 Alien Registration No. A12 022 019 Ann Barbara Mikaila (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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