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No. 7158725 Name DASKALAKIS, He len residing at 1968 Logan Ave, San Diego, Calif. Date of birth 5/15/94 Date of order of admission 10/16/53 Date certificate issued October 22,-1953 by the Superior Court at SanDiego, California Petition No. 18082 Alien Registration No. 2327718 Helen Daskabbis (Complete and true signature of holder)