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Vol 71 pg123 No. 6466308 Name PTASHNIK, Feodor Decl rol 35 Pg608 residing at 510 North Main Street, Waterbury, Connecti- cut Age 53 years. Date of order of admission September 21, 1945 Date certificate issued September 21, 1945 by the Superior Court at Waterbury, Connecticut Petition No. 3623 Alien Registration No. 5672860 J. Teaher Ptashnik (Complete and true signature of holder)

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