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No. 7658397 Name BORSA, Maria residing at 7 Salem Turnpike, Norwich, Conn. Date of birth 9-16-1921 Date of order of admission 3-4-1958 Date certificate issued March 4, 1958 by the Superior Court at Norwich, Conn. Petition No. 10126 Alien Registration No. A8372606 Waria Bose (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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