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No. 7241 221 Name TOCZKO, Waclaw residing at 93 Gold Street, New Britain, Conn. Date of birth 2/17/12 Date of order of admission 4/21/55 Date certificate issued April 21st, 1955 by the Superior Court at New Britain Petition No. 5241 Alien Registration No. A7 170 512 Waelaw Toerko (Complete and true signature of holder)

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