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No. 6836448 Name BALISTRERI, Stefano residing at 1412 Vine Street, San Diego, Calif. Date of birth 8/24/12 Date of order of admission 1/19/51 Date certificate issued January 22,1951 by the Superi or Court at San Die go, California Petition No. 151.91 Alien Registration No. 6536071 ST& fame Balistreri (Complete and true signature of holder)