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No. 6969853 Name KEELY, Mireille Perrin residing at 2651 Broadway, San Diego, Calif. Date of birth 2/21/10 Date of order of admission 11/16/51 Date certificate issued November 20,1951 by the Superior Court at. San - Diego, California Petition No. 15851 Alien Registration No. 6828521 Minaille (Complete and Perio true signature of holder) Keely