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No. 6525247 Name KLOCZANIUK, Salomea residing at Glenville Road, Glenville, Conn. Age 54 years. Date of order of admission Nov. 19. 1946 Date certificate issued Nov. 19. 1946 by the Superior Court at Stamford Conn. Petition No. 34791 Alien Registration No. 4658338 Salonea Alocyaniuk (Complete and true signature of holder)

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Document identity
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