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No. 7241371 Name WINIEWSKI, Henryk residing at 100 Broad Street, New Britain, Conn. Date of birth 6/29/25 Date of order of admission 2/15/56 Date certificate issued February 15th, 1956 by the Superior Court at New Britain Petition No. 5394 Alien Registration No. A7 872 160 Henryla (Complete and Winiewold true signature of holder)

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