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No. 5097698 Name DE HAAN, Arthur residing at 3846 49th St., San Diego, California Age 32 years. Date of order of admission March 14, 1941 Date certificate issued March 18, 1941 by the Superior Court at San Diego, California ARRC - 4831728 Petition No. 7548 asthur De Haan (Complete and true signature of holder)