Petersen, Ellis Agnete Eriksen - 1954
This individual also went by the name Petersen, Ellis Agnete.
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Extracted text
OCR Page 1 of 2No. 7167970
Name
PETERSEN, Ellis Agnete Eriksen
residing at 4705 Avocado Blvd. La Mesa, Calif.
Date of birth 12/27/27
Date of order of admission
11/8/54
Date certificate issued
November 11, 1954
by the
Superior
Court at San Diego California
Petition No. 19045
Alien Registration
No. 69443:
Ellis agnite Eriksen Petersen
(Complete and true signature of holder)