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No. 7241448 Name ZAWADZKI, Kazimierz Stefan residing at 58 Miller Street, New Britain, Conn. Date of birth 12/3/15 Date of order of admission 6/20/56 Date certificate issued June 20th, 1956 by the Superior Court at New Britain Petition No. 5471 Alien Registration No. AR7 978 455 Fazimierz Stefan Lawadhu (Complete and true signature of holder)

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