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April 12, 1950
No. 6819569
Name GOUSKOS, Denis
residing at 28 Crown St., Meriden, Conn
Date of birthApr.16,1896 Date of order of admission 5/25/50
Date certificate issued May 25, 1950
by the
Superior
Court at Meriden, Conn.
Petition No. 1108
Alien Registration No. 4705889
benis Gouskes
(Complete and true signature of holder)
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