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No. 7230718 Name LEVINE, Sally residing at 1575 North Ave. Bridgeport, Conn. Date of birth 12/3/27 Date of order of admission 6/8/54 Date certificate issued June 8, 1954 by the Superior Court at Bridgeport, Conn. Petition No. 39405 Alien Registration No. 6 648 234 Sally (Complete and Levine signature of true holder)

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