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Confirmation Receipt List

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Your Application Has Been Submitted.

Do NOT file the same application again.

Please make a note of your Receipt Number(s) listed below.

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To view the PDF version of your Confirmation Receipt Notice, select the Finish button.

Form

USCIS Receipt Number

Filing Fee

I-90 - Peralta, Antonio

MSC1480328507

$ 450.00

Total Amount Paid:

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$ 450.00

Payment Date:

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06/26/2014

Finish

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For assistance or questions regarding this form, please call our National

USCIS July 23, 2014

19809 Prairie ST. 1st Fl. # 109

Chatsworth, CA. 91311

Call NCSC 1-800-***-****

A 063-313-176 = Dayana Guadalupe Lara Godinez 12/14/2000

The service request management tool (SRMT) inquiry number that you were given when you called the NCSC,

A 091*-***-*** Antonio Lara Peralta 06/30/1954 phone# 661-***-****

Father=

Mother=

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