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J No. 6969698 Name BELTRAN Adela residing at 2114 Inglewood Proi, Lemon Gr ove, Cal. Date of birth 10/24/03 Date of order of admission 10/5/51 Date certificate issued October 8,1951 by the Superior Court at San Diego, Calif. Petition No. 15829 Alien Registration No. 1863374 adela Beltwan (Complete and true signature of holder)