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R. No. 7442379 Name KEPKA, Stanislawa residing at Slade Street, Oakville, Conn. Date of birthNov. 14, 1922 Date of order of admission Mar. 12, 1957 Date certificate issued March 12th, 1957 by the Superior Court at Winsted, Connecticut Petition No. 6972 Alien Registration No. A7 162 651 Stans lower Kepka (Complete and true signature of holder)

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