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No. 5423102 Name QUALIN, Antone residing at 3246 Fenelon St San Diego. + Calif. Age 57 years. Date of order of admission Jan le 9, 1942 Date certificate issued January 12, 1942 by the - Superior Court at San.Diego,-California-- - Petition No. 8000 antone 9120265 analism (Complete and true signature of holder)