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No. 7049029
Name MACKIEWICZ, Witold
residing at 243 Atlentic St. Bridgeport, Conn.
Date of birth 2/2/20
Date of order of admission 6/3/52
Date certificate issued
June 3, 1952
by the
Superior
Court at Bridgeport Conn.
Petition No. 37774
Alien Registration No. 6964138
Wetold Markierries
(Complete and true signature of holder)
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Document identity
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