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No. 7241329 Name WASYLUK, Wiatscheslaw residing at 51 Prospect Street, New Britain, Conn. Date of birth 8/6/21 Date of order of admission 10/26/55 Date certificate issued October 26th, 1955 by the Superior Court at New Britain Petition No. 5353 Alien Registration No A7 490 006 Hiatscheslaw (Complete and true signature Haryluk of holder)

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