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No. 6976064
Name SZOBOTA, Veronica
residing at 420 Spruce St. Bridgeport, Conn.
Date of birth 9/21/97
Date of order of admission 3/11/52
Date certificate issued
Mar. 11, 1952
by the
Superior
Court at
Bridgeport COHA.
Petition No. 37560
Alien Registration No. 2558785
Veronica Gobota
(Complete and true signature of holder)
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Document identity
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