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No. 5450637 Name JACOSTE, Fernanda residing at 2723 Marcey St. San Diego, Calif. Age 61 years. Date of order of admission June 12, 1942 Date certificate issued June 17th, 1942 by the Superior Court at San Diego, Calif. Petition No. 8288 2893754 Ternanda Incort (Complete and true signature of holder)