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No. 5355087 Name FAZIO, Josephine residing at Box 103, Rt. 1, El Cajon, Calif. Age 36 years. Date of order of admission Oct. 10, 1941 Date certificate issued October 18th, 1941 by the Superior Court at San Diego, California Petition No. 7972 3026581 Josephine Fazio (Complete and true signature of helder)