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No. 5450567 Name SIRHAN Sam Salim residing at 815 Fifth Ave., Pittsburgh, Penn. Age 22 years. Date of order of admission June 11, 1942 Date certificate issued June 13, 1942 by the Superior Court at San Diego, Calif, Petition No. 8548-M 1423858 form Jalian Sirhon (Complete and true signature of holder) -