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No. 9321387 Name MARKUSZKA, Stanislaw residing at 31 Connerton Street, New Britain, Conn. Date of birth 5/2/34 Date of order of admission 4/20/72 Date certificate issued April 20, 1972 by the Superior Court at New Britain Petition No. 8188 Alien Registration No. A13 816 582 ftamistor (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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