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No. 7231101 Name CHMIELENSKI, Mary residing at 353 Thompson St. Stratford, Conn. Date of birth 12/17/95 Date of order of admission 11/11/54 Date certificate issued Nov, 11, 1954 by the Superior Court at Bridgeport, Conn. Petition No. 39819 Alien Registration No. A5 171 365 Mary (Complete and true signature of holder)

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Page context
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