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No. 7060698 Name FRIEND, Carl residing at 3060 Heythorne Ste, San Diego, Calif. Date of birth 1/31/02 Date of order of admission 12/19/52 Date certificate issued December 23,1952 by the Superior Court at San Diego, Calif. Petition No. 17053 Alien Registration No. 6690915 Caul friend (Complete and true signature of holder)