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/ No. 6969638 Name HART, Ann Sarah residing at 5069 Voltaire St. San Diego, Calif, Date of birth 9/5/03 Date of order of admission 19/5/51 Date certificate issued October 8, 1951 by the Superi or Court at San Diego, Calif. Petition No. 15786 Alien Registration No. 5609529 ammsarah Hart (Complete and true signature of holder)