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No. 6382408
Name
ROUSSEAU, Albert
residing at 17 Pearl St. Lyan, Massachussts
Age 41
years. Date of order of admission June 28,1944
Date certificate issued
June 29,1944
by the
Superior
Court at San Diego, Calif.
Petition No. 11475=K
either Rousseau
(Complete and true signature of holder)
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Document data
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Document identity
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