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No. 6801862 Name COSTI, Mike AN residing at 1404 Bush St., San Diego, Calif. Date of birth 9/12/91 Date of order of admission 5/15/49 Date certificate issued May 17, 19!19 by the Superior Court at San Diego, Calif. Petition No. 14343 Alien Registration No. 5434556 mik coth (Complete and true signature of holder)