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No. 7158656 Name RUIZ, Guadalupe residing at 2021 Franklin Avenue, San Diego, Cal if Date of birth 2-24-98 Date of order of admission 9-17-53 Date certificate issued September 22, 19.53 by the Superior Court at San Diago,-California Petition No. 17962 Alien Registration No.4986.833 Guadalupe Ruiz (Complete and true signature of holder)