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No. 7029317 Name COTA, Manuel Castillo residing at 515 S. 32nd St., , San Diego Calif. Date of birth 5/27/95 Date of order of admission 3/21/52 Date certificate issued March 24, 1952 by the Superior Court at San Diego, Calif. Petition No. 16427 Alien Registration No. 1675050 manuel Castillo Cotas (Complete and true signature of holder)