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No. 7670078 Name DAVID, Nellie VOL. 81, Pg. 47 residing at 240 Oak Street, Waterbury, Connecticut Date of birthMay 10, 1894 Date of order of admission pr. 19, 1961 Date certificate issued April 19, 1961 by the SUPERIOR Court at WATERBURY, CONNECTICUT Petition No. 6660 Alien Registration No. 1-190-370 nellee P. ared (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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