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No. 6829806 Name MILLER, Jean Wilson residing at 111 Juanita Lane, El Cajon, Calif. Date of birth 10/18/25 Date of order of admission 1/20/50 Date certificate issued Januery 23, 1950 by the Superior Court at San Diego, Calif. Petition No. 14645 Alien Registration No. 6000765 Jean Millu Wilson (Complete and true signature of holder)