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O No. 6082761 Name avenue Labello residing at 2442 Imperiel Ave , San Diego, Calife Age 51 years. Date of order of admission Jan. 14, 1944 Date certificate issued January 15, 1944 by the Supe rior Court at San Diego, Calif. Petition No. 10065 anne 4449983 minu Reg:1599 Lubello - . (Complete and true signature of holder)