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No. 6823679 Name CZERWINSKI, Rosemary residing at 37 Orland St. Bridgeport, Conn. Date of birth 10/18/22 Date of order of admission 1/15/52 Date certificate issued Jan. 15, 1952 by the Superior Court at Bridgeport, Conn. Petition No. 37410 Alien Registration No. 6260527 Rosem an Geminski and (Complete true signature of holder)

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