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No. 5355029 Name VAN HOLST, Adrian residing at 4135 42nd Street, San Diego, Calif. Age 30 years. Date of order of admission Sept. 12, 1941 Date certificate issued September 18, 1941 by the Superi or Court at San Diego, Californi a Petition No. 7885 1675962 Adian Iam Halst (Compiete and true signature of holder)