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No. 7231367 Name LEGER, Harriet Marie residing at 1141 Sylvan Ave. Bridgeport, Conn. Date birth of 1/8/03 Date of order of admission 11/11/54 Date certificate issued Nov. 11, 1954 by the Superior Court at Bridgeport Conn. Petition No. 39629 Alien Registration No. A2 094 147 Harriet Marie Leger (Complete and true signature of holder)

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