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No. 7059976 Name CRU Z, Val residing at 142-22nd St._, San Diego, California Date of birth 5/21/03 Date of order of admission2/27/53 Date certificate issued March 4, 1953 by the Superior Court at San Diego, Calif. Petition No. 17159 Alien Registration No. 4464590 Wal (Complete and true signature of holder) Lung