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rol 73 pg 165
No. 6466903
Name ZAPATKA, Adam Decl 35 Pg 58
residing at 117 Woodbine Street, Union City, Naugatuck,
Bonnecticut
Age 70
years. Date of order of admission January 21, 1948
Date certificate issued January 21, 1948
by the
Superior Court at Waterbury, Connecticut
Petition No. 4165
Alien Registration No. 3867485
adam (Complete and true Ingatia signature of holder)
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