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No. 8284287 Name BERG, Eleonore Helene Charlotte residing at 190 Bayonet St., New London, Conn. Date of birth 9/14/1925 of order admission Nov. 15, 1962 Date of Date certificate issued November 15, 1962 by the Superior Court at Norwich, Conn. Petition No. 10642 Alien Registration No. All 029 664 Elemn (COMPLETE He line AND TRUE SIGNATURE Charable OF HOLDER) By

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