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No. 4460819 Name MADDEN LUDWIN-MARIE residing at R 4 Box 85, Palm City Calif. Age 54 years. Date of order of admission Mar. 25 1938 Date certificate issued Mar.31 1938 by the Superior Court at San Diego, Calif Petition No. 5579 Leutroonelbanie Mowlelen (Complete and true signature of holder)