Union Hp

We United States,

of rm a more perfect Union,

Tustice, insure domestic Tranquility,

the common defence

the general Welfare, and

: e Blessiz, 4 6 fl the

TITULAR

FIRMA DEL

ULAIRE /

Wr

Surname / Ne m

ROSAS _

Uae

‘Apel

ARISOL f Rae are.

onality / Nationalité / Nasionalidad Heed

UNITED STATES OF AMERICA A

Date of birth / Date de naissance / Fecha de racimiento

‘Pla ace.of birth / Lieu de naissance/ Lugar de nacirniento Sex Sexe Sexo:

CALIFORNIA, U.S.A. FF

Date of issue / Date de délivrance / Fecha de expedicion Authority Autorite Aug

7. ie

. a

20 OTE tea re IR, a cw

a Somaact oe Ne ce a

30 Apr 2019, United

Date of expiration / Date d'expiration / Fecha de caducidad De part ent

29 Apr 2029 = 48

6

Endorsements / Mentions Spéciales / Anotaciones

SEE PAGE27 ered

eae, pin NN aay .

. ell Hp — ae nn Nas

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