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No. 7050618 Name COLBECK, Eleanore Marie residing at 804 "V" Ave., National City, Calif. Date of birth 8/3/13 Date of order of admission 11/21/52 Date certificate issued November 29.-1952 by the Super ior Court at San Diego, California Petition No. 17111 Alien Registration No a8221028 Eleanore marie Colbeck (Complete and true signature of holder)