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No. 8844267 Name SLAPA, Francis residing at 200 High Street, New Britain, Conn. Date of birth 8/21/04 Date of order of admission 11/10/66 Date certificate issued November 10, 1966 by the Superior Court at New Britain Petition No. 7392 Alien Registration No. A10 921 836 Francis (COMPLETE AND Playsa. TRUE SIGNATURE OF HOLDER)

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