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No. 8573100 FAZEKAS, Joseph R Name 84 Grand Street, Thomaston, Conn. residing at Date of birth 4/21/28 11/14/67 Date of order of admission Date certificate issued November 14, 1967 by the Superior Litchfield, Conn. Court at Petition No. 7700 Alien Registration No. All 232 226 Joseph (COMPLETE AND Jogebors TRUE SIGNATURE OF HOLDER)

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