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No. 7060594 Name MALLARI, Nickie residing at USS JASON (ARH-1) FPO, San Francisco Calif. Date of birth 11/19/22 Date of order of admission 11/21/52 Date certificate issued Nov. 29,-1952 by the Superior Court at San Diego, Californie Petition No. 17189 Alien Registration NO 2073715 nickil Mellon (Complete and true signature of holder)