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No. 8286620 Name ZACZYK, Anita Marianne residing at 162 Market Street, New Britain, Conn. Date of birth 2/21/28 Date of order of admission 11/8/62 Date certificate issued November 8, 1962 by the Superior Court at New Britain Petition No. 6727 Alien Registration No. A8 534 672 Chrila (COMPLETE Marriame AND TRUE SIGNATURE jaczys OF HOLDER)

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