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No. 7566242 Name WANTUCH, Stefan residing at 45 Silver Street, New Britain, Conn. Date of birth 3/2/26 Date of order of admission 9/24/57 Date certificate issued September 24, 1957 by the Superi or Court at New Britain Petition No. 5746 Alien Registration No. A8 214 341 Stelan Wantuch (Complete and true signature of holder)

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