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No. 7060583 Name PALMARES, Poe residing at USS Pine Island (AV-12). san Diego,Cal Date of birth 5/22/23 Date of order of admission 11/21/52 Date certificate issued Nov. 29,1952 by the Superio Court at san Diego, Calif. Fetition No. 17215 Alien Registration No. T2073/691 Almosd (Complete and true signature of holder)