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No. 7060686 Name HUYSMAN, Mari on Smeed residing at 1964.5th Ave.s San Diego. California Date of birth 12/19/05 Date of order of admission. 12/19/52 Date certificate issued December 23, 1952 by the Superior Court at San Diego, California Petition No. 16961 Alien No. Registration AND 7657881 mariou smeed Heysman (Complete and true signature of holder)