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No. 7241211 Name VILCINSKAS, Jadvyga residing at 70 Fairview St., New Britain, Conn. Date of birth 8/18/16 Date of order of admission 4/21/55 Date certificate issued April 21st, 1955 by the Superior Court at New Britain Petition No. 5232 Alien Registration No. A7 156 316 Jadvyga (Complete and Vilcimkas true signature of holder)

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