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No. 8481627 Name LACIS, Vera residing at 151 Union Street, Willimantic, Conn. Date of birth 5/25/1914 Date of order of admission 11/6/1963 Date certificate issued November 6, 1963 by the Superior Court at Putnam, Connecticut Petition No. 5367 Alien Registration No. A7 810 542 Vera Lacis (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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