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No. 8286553 Name WOLEJKO, Boleslaw residing at 14 Gilbert Street, New Britain, Conn. Date of birth 2/15/13 Date of order of admission 4/10/62 Date certificate issued April 10, 1962 by the Superior Court at New Britain Petition No. 6648 Alien Registration No. A8 206 847 Bolestaw worjko (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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