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No. 6802024 Name VAN DE GRAAFF John residing at Rt. Calif. Date of birth 12/3/91 Date of order of admission. 11/18/49 Date certificate issued No vember 23,-1949 by the Superior Court at San D iego, Californie Petition No. 14593 Alien Registration No. 6922756 John (Complete Haw and true De signature of straaff holder)