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/ No. 7060278 Name ANDRADA, Candie residing at P.O. Box 879, Palm City, California Date of birth 9-16-96 Date of order of admission 7-17-53 Date certificate issued July 29, 1953 by the Superior Court at San Diego, Calif. Petition No. 17639 Alien Registration No. 2371267 Candie Ombado (Complete and true signature of holder)