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No. 8773002
Name ZIELINSKI, Michael
residing at 447 Arch Street, New Britain, Conn.
Date of birth 12/8/15
Date of order of admission 6/16/65
Date certificate issued
June 16, 1965
by the
Superior
Court at
New Britain
Petition No. 7112
Alien Registration No. A10 926 713
chickael COMPLETE AND TRUE Fielinhi SIGNATURE OF HOLDER)
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Document identity
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