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No. 6382887 Name ROVICK, Morri S residing at 4422 - 33rd Place, San Diego, Calif. Age 64 years. Date of order of admission April 13,1945 Date certificate issued April 14, 1945 by the Superior Court at San Diego, California Petition No. 11940 marris Rousek 4155758 (Complete and true signature of holder)