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No. 6784704 Name TABALDO, George residing at 233 - 18th Sti, San Diege, Calif. Date of birth 6/30/03 Date of order of admission 2/20/48 Date certificate issued February 24th, 1948 by the Superior Court at San Diego, California Petition No. 13654 Alien Registration No. 3968545 George Tabald Complete and true signature of holder)