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No. 7571054
Name YANCHAK, Josephine Joan
residing at 181 Lester Street, New Britain, Conn,
Date of birth 5/4/37
Date of order of admission 6/17/58
Date certificate issued
June 17, 1958
by the
Superior
Court at
New Britain
Petition No. 5981
Alien Registration No. A8 203 415
Joephine (Complete and true signature of holder)
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Context sent to Scholar
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