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No. 7036014 Name WICHMAN, Roman residing at 648 West Main St., New Britain, Conn. Date of birth 4/28/14 Date of order of admission 11/25/52 Date certificate issued November 25th, 1952 by the Superior Court at New Britain Petition No. 4707 Alien Registration No. A7 336 486 Roman Widnessen (Complete and true signature of holder)

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Document identity
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