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No. 5490576 Name MILLER, Albert Marks residing at 819 Capistrano Place, Mi ssion-Beach,Cal. - Age 45 years. Date of order of admission October 8, 1943 Date certificate issued Octob er 15, 1943 by the Superior Court at San Diego, California Petition No. 10574 albert 5799717 Marks Milks (Complete and true signature of holder)