Authorization Card

NITED STATES OF, AMERICA

Ree AUTHORIZATION:

Surname

BRIZON

Given Name

MAGDALINE

wi uscis#

§ .244-300- 174

dF

ory FOR REENTRY TOUS.

TTT

Dategory Card#

cat

109*********

Bu) Terms and;Gonditions

é 7, None

ey } Date of Birth Sex

Vibe 22 DEC 2000 F

Country of Birth

Haiti

2112124

eee AzeIee s

RET LTE

ee ENTE

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