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No. 6525027
Name RATUSHNUK, Emelian
residing at 339 Pearl St. Bridgeport, Conn.
Age 51
years. Date of order of admission Nov. 14, 1946
Date certificate issued
Nov. 14. 1946
by the
Superior
Court at Bridgeport Conn.
Petition No. 33231
Alien Registration No. 4123392
Encelian Ratushneep
(Complete and true signature of holder)
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Document identity
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