Avery, Lena "I" - 1938
This individual also went by the name Avery, Capitolina Ivanovna.
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Extracted text
OCR Page 1 of 2No. 4443219
Name
AVERY, LENA "I"
residing at
4947 Del Monte, Ocean Beach, Calif.
Age
30 years. Date of order of admission Jan. 7 1938
Date certificate issued
Jan. 11 1938
by the
Superior
Court at
San Diego, Calif.
Petition No.
5497
Lena "I" avery
(Complete and true signature of helder)