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No. 6816804 Name ZABLECKIE, Anna rol75 Pg30 residing at 23 West Porter Street, Waterbury, Connecti- cut Date of birth Apr. 24, 1880 Date of order of admission March 7, 1951 Date certificate issued March 7, 1951 by the Superior Court at Waterbury, Connecticut Petition No. 4530 Alien Registration No. 4676729 anna Balbuis (Complete and true signature of holder)

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