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No. 7241461 Name WARZYCKI, Antoni residing at 158 Beaver Street, New Britain, Conn. Date of birth 12/18/19 Date of order of admission 6/20/56 Date certificate issued June 20th, 1956 by the Superior Court at New Britain Petition No. 5487 Alien Registration No. A7 834 995 Antoni (Complete and true signature Warrycki of holder)

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