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No. 8286790 Name GAJ, Walter residing at 116 Belden Street, New Britain, Conn. Date of birth 8/27/20 Date of order of admission 11/7/63 Date certificate issued November 7, 1963 by the Superior Court at New Britain Petition No. 6849 Alien Registration No. A7 239 160 A7 Walter (COMPLETE AND TRUE Goj SIGNATURE OF HOLDER)

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