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No. 7241398 Name SIENKIEWICZ, Boleslaw residing at 14 Gold Street, New Britain, Conn. Date of birth 7/19/10 Date of order of admission 6/20/56 Date certificate issued June 20th, 1956 by the Superior Court at New Britain Petition No. 5411 Alien Registration No. A7 854 309 Boleslaw SieuRiewier (Complete and true signature of holder)

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