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No. 6440292 Name UITZ, Rosina residing at 91 Jubilee Street, New Britain, Conn. Age 57 years. Date of order of admission April 3, 1945. Date certificate issued April 3rd, 1945 by the Superior Court at New Britain Petition No. 3679 Alien Registration No. 3513120 Rasina Uitz (Complete and true signature of holder)

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