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No. 7571503 Name LIZEE, Florence Marie residing at Box 21, North Windham, Connecticut Date of birth 1/14/1933 Date of order of admission May 14, 1959 Date certificate issued May 14, 1959 by the Superior Court at Putnam, Connecticut Petition No. 5094 Alien Registration No. A7 1014 875 Florence Marie Lijer (Complete and true signature of holder)

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Document identity
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Page context
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