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No. 7147581 Name URBANOWICZ, Tekla residing at 113 Broad Street, New Britain, Conn. Date of birth 4/27/95 Date of order of admission 9/29/53 Date certificate issued September 29th, 1953 by the Superior Court at New Britain Petition No. 4913 Alien Registration No. A3 608 060 Jekla (Complete Urbanowien and true signature of holder)

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