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No. 7243243 Name PANKIW, Julia residing at 8 Lafayette St., Willimantic, Conn. Date of birth May 1. 1926 Date of order of admission June 24 , 1955 Date certificate issued June 24th, 1955, by the Superior Court at Putnam, Connecticut. Petition No. 4736 Alien Registration No. A7 7.308.077 Julia Tansin of (Complete and true signature holder)

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Document identity
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