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No. 6775335 Name CLARK, Anne residing at Naval Radio Station, PL.Loma San Diego, Carif. Date of birth 1/23/16 Date of order of admission 1/16/48 Date certificate issued January 19, 1948 by the Superior Court at San Riego., California Petition No. 13688 Alien No. 6139087 Registration anw Clark (Complete and true signature of holder)