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No. 5774129 Name ORTIZ, Ralph Gevarra residing at. Box 945, Indio, California Age 26 years. Date of order of admission Feb 2b, 1943 Date certificate issued February 27, 1943 by the Superior Court at San Di ego, Cali 1. Petition No. 9887-M Lotter Ralph - wevana (Complete and signature of holder) Outy true