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No. 7060668 Name SCOTT, Evelo residing at 4002 Greenwood St. San Diego, Calif. Date of birth 2/2/19 Date of order of admission 12/19/52 Date certificate issued December 23,1952 by the Superior Court at San Diege, California Petition No. 17013 Alien Registration No. 6402823 Evels Scott (Complete and true signature of holder)