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No. 7059767 Name FARMER, Jane- residing at 69 Torrey Pine 8, La Jolla, Calif. Date of birth 5/4/22 Date of order of admission 11/21/52 Date certificate issued November 29, 1952 by the Superi or Court at San Diego, Calif. Petition No. 16995 Alien Registration No. 6526759 1 Jane (Complete and true Farmer signature of holder)