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No. 9321352 Name ZDUNIAK, Wieslaw residing at 14 Gold Street, New Britain, Conn. Date of birth 4/11/34 Date of order of admission 1/6/72 Date certificate issued January 6, 1972 by the Superior Court at New Britain Petition No. 8137 Alien Registration No. A13 788 720 Wieslaw (COMPLETE AND 3daniah TRUE SIGNATURE OF HOLDER)

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