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No. 9217351 Name WOJSKOWICZ, Filomena Maria residing at 262 Maple Street, New Britain, Conn. Date of birth 2/24/38 Date of order of admission 6/8/72 Date certificate issued June 8, 1972 by the Superior Court at New Britain Petition No. 8222 Alien Registration No. A14 307 845 Filomena Maria Wojshowide (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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