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No. 8284288 Name BERG, Arnold residing at 190 Bayonet St., New London, Conn. Date of birth 12/7/1912 Date of order of admission Nov. 15, 1962 Date certificate issued November 15, 1962 by the Superior Court at Norwich, Conn. Petition No. 10643 Alien No. All 029 662 Registration arnold (COMPLETE AND Berg TRUE SIGNATURE OF HOLDER)

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