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No. 3711686 Name GOLDSTEIN, MRS. GOLDIE residing at 13: 36 29th St, San Diego, Californ: ia Age 32 years. Date of order of admission December 22 1933 Date certificate issued Decembe r 23 1933 by the Superior Court at San Diego,-California 3913 Petition No. Goldie Goldstein (Complete and true signature of holder)