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No. 7644080 Name MALACHOWSKI, Lena residing at 328 Elm Street, New Britain, Conn. Date of birth 5/6/96 Date of order of admission 1/4/62 Date certificate issued January 4, 1962 by the Superior Court at New Britain Petition No. 6531 Alien Registration No. A4 131 888 Lena Malachouski (Complete and true signature of holder)

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Document identity
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Page context
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