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BURKUS_ANNA_PET. 6750
Family name BURKUS Address Box 321 C1.arksvi11e Certificate no.(or vol.and page) Pet.67S0 Country of birth or allegiance Pa.11 itle and location of court Names andllddresses of witnesses Pet.11/1/43 ------ - ------------- -_.--- - ------ -- ------ - ----- --------------------------------------------------- U.S.DEPARTME:ST OF LABOR,Immigration and 1 ralizatlon Service.For:m.No.l-IP.14-3202 IN COURT RECORDADDITIONALINFORM Certificate canceled (date and court)----------------------_ Wny canceled-----------------------------------------------------------------------------------------------. Expatrlated------------._--------------------------Deceased------------------------------------------------ Other facts of record----------------.-----------------------------------------------------------------------_ U.S.GOVERNMENT PRINTING OFfiCE 14.-3202