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No. 5490620 Name GOTTWALD, Anna Katie residing at 4011 - 50th.St., San Diego, California Age 45 years. Date of order of admission October 8, 1943 Date certificate issued October 11, 1943 by the Superior Court at San Diego, Calif. Petition No. 9683 anna Ratie Gothwald. 2925899 Rego 725 (Complete and true signature of holder)