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No. 5773368 Name FAY Mildred Florence residing at 3603 Chamoune St . 2 San Diego, Calif. Age 29 years. Date of order of admission Nov. 13,1942 Date certificate issued November 27th, 1942 by the Superi or Court at San Diego, California Petition No. 9032 Dichiddenence 414 (Complete and true signature of holder) Lay