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No. 7566202
Name WILK, Michal
residing at 110 Broad Street, New Britain, Conn.
Date of birth 9/10/14
Date of order of admission 6/11/57
Date certificate issued
June 11, 1957
by the
Superior
Court at
New Britain
Petition No. 5724
Alien Registration No. A8 203 628
Michal Dilk Micha
(Complete and true signature of holder)
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Context sent to Scholar
Document identity
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