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No. 5755915 Name HOLMES Terry Edgar residing at. P. 0. Box 892, St. Helens, Oregon Age 42 years. Date of order of admission Nov. 6, 1942 Date certificate issued November 7, 1942 by the - Superi or Court at San Diego, Calif. Petition No. 9331-M 200438 Jerry Edgar Holmes Complete and true signature of holder)