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No. 6431815 Name LEWIN MARTIN residing at 77 South Str, Willimentic, Conn. Age years. Date of order of admission 44 Mar.9,1945 Date certificate issued by the Mar. 9, 1945 Court at Superior Windham, Conn. Petition No. 3824 Alien Registration No. 1169146 Madin health (Complete and true signature of holder)

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