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rol72 pg 42
No. 6466516
Name DMITRUK, Michael Pg484
rear
residing at 34 Ward Street, Waterbury, Connecticut
Age 50
years. Date of order of admission March 7, 1946
Date certificate issued March 7, 1946
by the
Superior
Court at Waterbury, Connecticut
Petition No. 3792
Alien Registration No. 4425604
Michael Dmitruk
(Complete and true signature of holder)
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