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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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Document identity
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