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No. 7231040 Name HAYNES, Charles Arthur residing at Over Rock Lane, Westport, Conn. Date of birth 12/19/88 Date of order of admission 11/11/54 Date certificate issued Nov. 11, 1954 by the Superior Court at Bridgeport, Conn. Petition No. 39744 Alien Registration No. A4 672 034 Charhs arthu. Stayms (Complete and true signature of holder)

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Document identity
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Page context
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