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No. 9217376 Name LUCCHESI, Giancarlo residing at 341 Woodstock Avenue, Putnam, Conn. 1933 Date of birth Feb.17, Date of order of admission Feb. 10, 1972 Date certificate issued February 10, 1972 by the Superior Court at Putnam, Connecticut Petition No. 5683 Alien Registration No. All 117 504 Giamearlo huckes. (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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