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No. 7658381 Name BORUCH, Stanislaw residing at Preston, Conn. Date of birth 4-22-1918 Date of order of admission 3-4-1958 Date certificate issued March 4, 1958 by the Superior Court at Norwich, Conn. Petition No. 10076 Alien Registration No. A7899363 Staniolam Bornoh (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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