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No. 8824523
Name KOWALCZYK, Janina
residing at 81 Federal Circle, New Britain, Conn.
Date of birth 5/30/26
Date of order of admission 6/15/67
Date certificate issued
June 15, 1967
by the
Superior
Court at
New Britain
Petition No. 7522
Alien Registration No. A12 300 592
Fanina Howalceyk
(COMPLETE AND TRUE SIGNATURE OF HOLDER)
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Document identity
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