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No. 9321326 Name MACIEJEWSKI, Chester Stefan residing at 150 Market Street, New Britain, Conn. Date of birth 7/18/29 Date of order of admission 11/4/71 Date certificate issued November 4, 1971 by the Superior Court at New Britain Petition No. 8155 Alien Registration No. A14 306 129 Chester Stefan (COMPLETE AND TRUE ellaciejewski SIGNATURE OF HOLDER)

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Document identity
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