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No. 7051218 Name DEPROTO jc JOSEPHINE residing at Middletown, Connecticut Date of birth 3/20/21 Date of order of admission 11/6/52 Date certificate issued November 6, 2 1952 by the Superior Court at Middletown, Conn. Petition No. 3422 l Alien Registration No. A7249684 Josephane (Complete and De true signature Proto of holder)