Extracted text

OCR Page 1 of 2
No. 6969592 Name MATHIASEN May residing at 4552 1/2 Terrace Dr., San Diego,Cal. Date of birth 2/4/12 Date of order of admission 19/5/51 Date certificate issued October 8,1951 by the Superior Court at San Diego, California Petition No. 15759 Alien Registration No. 6804728 may Complete mathiasen and true signature of holder)