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No. 5423110 Name LOUTFALLAH, Michel residing at Rt.2, Box 542, San Marcos, Calif, Age 34 years. Date of order of admission Jan, 9., 1942 Date certificate issued January 12, 1942 by the Superior Court at San Diego,California , Petition No. 8059 1676140 under bullallar (Complete and true signature of holder)