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No. 8286729 Name TOBOLSKI, Marian residing at 47 East Main Street, New Britain, Conn. Date of birth 5/27/27 Date of order of admission 6/19/63 Date certificate issued June 19, 1963 by the Superior Court at New Britain Petition No. 6814 Alien Registration NoA10 669 375 Marian Tobalski (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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