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No. 6829793 Name ROMERO, Frank residing at P.O.Box 76, Spring Valley, Calif. Date of birth 1/2/06 Date of order of admission 1/20/50 Date certificate issued January 24, 1950 by the Superior Court at San Diego, Calif. Petition No. 14740 Alien Registration No. 5532615 Frank Romero (Complete and true signature of holder)