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No. 7060256 Name CACHOLA, Mac residing at P.O. Box 928, San Diego, Calif. Date of birth 3/10/06 Date of order of admission 7-17-53 Date certificate issued July 31,1953 by the Superior Court at San Diego, Calif. Petition No. 17672 Alien Registration No. 5766071 New Carbola (Complete and trué signature of holder)