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No. 9321317 Name MELNYK, John residing at 64 Old Musket Drive, Newington, Conn. Date of birth 6/15/40 Date of order of admission 11/4/71 Date certificate issued November 4, 1971 by the Superior Court at New Britain Petition No. 8154 Alien Registration NoA12 014 385 John (COMPLETE AND Melnyk TRUE SIGNATURE OF HOLDER)

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Document identity
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Page context
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