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No. 5197250 Name ARCHIBALD, Irvine residing at 33 Park St., Norwich, Connecticut Age 33 years. Date of order of admission December 10,1941 Date certificate issued December 10, 1941 by the Superior Court at Norwich, Connecticut Alien Reg. No. 1110750 Petition No. 6714 Invine archibald (Complete and true signature of holder)

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Document identity
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