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No. 5450661 Name WEISBERG Sam R. residing at 4720 North Bernard St., Chicago, Ill. Age 25 years. Date of order of admission July 3, 1942 Date certificate issued July 6, 1942 by the Superior Court at San Diego, California Petition No. 8600-M 1714308 Saml (Complete and true signature Weinbug of holder)