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No. 5355013 Name BURLESON Camille residing at 3778 Rosecrans St., San Diego, Calif. Age 28 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. 7901 2414267 Camille Burberon (Complete and true signature of holder)