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No. 7147865 Name STANKIEWICZ, Kazimierz residing at 46 Erwin Place, New Britain, Conn. Date of birth 4/4/10 Date of order of admission 4/21/55 Date certificate issued April 21st, 1955 by the Superior Court at New Britain Petition No. 5133 Alien Registration No. A6 955 873 Narimier Stamiestics (Complete and true signature of holder)

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Document identity
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