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No. 6750646
Name PALISKI, Agnes
residing at 222 Bruce Park Ave. Greenwich, Conn.
Date of birth Jan.24,1889
Date of order of admission Jan.9. 1947
Date certificate issued
Jan. 9, 1947
by the
Superior
Court at
Bridgeport Conn.
Petition No. 35064
Alien Registration No. 3672764
Agnes. Poliski
(Complete and true signature of holder)
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Document identity
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