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No. 5408699 Name MENDOZA, Juan Gomez residing at 1641 Harding Ave., National City, Calif. Age 40 years. Date of order of admission Jan. 9,1142 Date certificate issued January 13, 1942 by the Superi or Court at San Piego , Calif Petition No. 8089 3365231 guan gomez Complete and true signature Mendoza of holder)