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No. 5490444 Name KOSTUCK, Marion Helen residing at 394 G St. Chula Vista, California Age 39 years. Date of order of admission August 13, 1943 Date certificate issued August 14, 1943 by the Superi or Court at San Diego, Calif. Petition N20338 mannor 4829725 Helen Kostuch (Complete and trué signature of holder)