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No. 7570970 Name SZMAJTER, Konrad residing at 415 Burritt St., New Britain, Conn. Date of birth 11/17/20 Date of order of admission 4/8/58 Date certificate issued April 8, 1958 by the Superior Court at New Britain Petition No. 5890 Alien Registration No. A8 279 191 Konrod Imajter (Complete and true signature of holder)

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Document identity
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