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No. 5803020 Name HARRISON + Suzanne A residing at 1267.14th.8t.7 San -Diego- Calif Age 36 years. Date of order of admission May 14th, 1943. Date certificate issued May 17th, 1943 by the Superior Court at San Di ego. California Petition No. 9718 2472258 (Complete a and Harrison signature of holder) true