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No. 8842126 Name MOTYL, Ihor John residing at 54 Walcott Street, Willimantic, Conn. 1950 Date of birth Aug. 17, Date of order of admission Nov. 5, 1970 Date certificate issued November 5, 1970 by the Superior Court at Putnam, Connecticut Petition No. 5642 Alien Registration No. A8 197 719 Mar (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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