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No. 4608153 Name HEADLUND, EDWARD ROSELAND residing at 4161 San Miguel, San Diego, Calif. Age 66 years. Date of order of admission Jan. 18 1939 Date certificate issued Jan. 19 1939 by the Superior Court at San Diego, Calif. Petition No. 6279 Edmand Rooeland Headlana (Complete and true signature of holder)