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R. No. 7566062 Name ULRICH, Katherine residing at Bissing Hill Rd. West Cornwall, Conn. Date of birthJuly 6,1908 Date of order of admissionJune 4,1958 Date certificate issued June 4, 1958 by the Superior Court at Winsted, Connecticut Petition No. 7124 Alien Registration No. A8 297 649 Kotherine Merier (Complete and true signature of holder)

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