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No. 4360141 Name MOE, LOUIS TENNESEN residing at 4063 Oakcrest Dr. San Diego, Calif. Age 52 years. Date of order of admission Sep. 24 1937 Date certificate issued Sep.30 1937 by the Superior Court at San Diego, Calif. Petition No. 5299 i Laurs Tennesen n (Complete and true signature of holder)