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No. 6969706 Name DEL REAL , Theresa residing at 1401 Highland Ave., National City Calif. Date of birth 7/13/23 Date of order of admission 10/5/51 Date certificate issued October 8 1951 by the Superior Court at San Diego, Californ ia Petition No. 15819 Alien Registration No. 1351190 Theresa Del Real (Complete and true signature of holder)