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No. 8841676
R
Name SLUPCZEWSKI, Hedwig
residing at
90 Morin Street, Oakville, Conn.
Date of birth Oct. 5, 1946 Date of order of admission Feb. 13, 1969
Date certificate issued February 13, 1969
by the
Superior
Court at Litchfield, Conn.
Petition No. 7756
Alien Registration No. A7 258 350
Hedwing (COMPLETE Slupgenski AND TRUE SIGNATURE OF HOLDER)
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