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No. 8841749 Name MINARD, Mona Marie residing at RFD. #1, Rte. 12, Danielson, Conn. 1940 Date of birth Jan. 2, Date of order of admission Nov. 6, 1969 Date certificate issued November 6, 1969 by the Superior Court at Willimantic, Conn. Petition No. 5614 Alien Registration No. A12 132 567 Mana Marie Minard (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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Page context
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