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34 No. 7059832 Name BAUTISTA, Carlos Oliveros residing atQ.He&M. Dept .U.S.N. Amphib. Base, Coron- ado Cal. Date of birth 1/21/28 Date of order of admission 12/19/52 Date certificate issued December 26. 1952 by the Superi or Court at San_Diego, California Petition No. 17342 Alien Registration No. T2-075727 tarlos Olmeros (Complete and true signature of holder)

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