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No. 8773068 Name WOJAKOWSKI, Kaethe residing at 16 Belmont Place, Plainville, Conn. Date of birth 7/2/24 Date of order of admission 11/4/65 Date certificate issued November 4, 1965 by the Superior Court at New Britain Petition No. 7189 Alien Registration No Al0 922 896 (COMPLETE AND TRUE OF HOLDER)

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