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No. 8481666 Name ZAJAC, Marian Wladislaw residing at 141 Broad Street, New Britain, Conn. Date of birth 9/15/28 Date of order of admission 4/14/64 Date certificate issued April 14, 1964 by the Superior Court at New Britain Petition No. 6912 Alien Registration No. A8 695 132 Honan (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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