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No. 6507404 Name PULKOWSKI, Walter Leo residing at Route #164, Preston City, Conn. Age 64 years. Date of order of admission June 13,1946 Date certificate issued June 13, 1946 by the Superior Court at Norwich, Conn. Petition No. 8478 Alien Registration No. 7586909 Walter Lea Julkownk (Complete and true signature of holder)

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