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No. 7241439 Name LUKASIK, Stasia residing at 49 Lyman Street, New Britain, Conn. Date of birth 5/3/14 Date of order of admission 6/20/56 Date certificate issued June 20th, 1956 by the Superior Court at New Britain Petition No. 5461 Alien Registration No. A6 239 473 Stasis Lukank (Complete and true signature of holder)

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Document identity
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Page context
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