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y No. 6530518 Name KOZIOL, Katie residing at 81 Cherry Street, Meriden, Conn. Age 59 years. Date of order of admission May 27 1948 Date certificate issued May 27 1948 by the Superior Court at Meriden, Conn. Petition No. 1057 Alien Registration No. 2083064 katiekoziol (Complete and true signature of holder)

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