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No. 5773687 Name ERICE, Tom A. residing at 417 Kearny St.. San Francisco, Calif. Age 44 years. Date of order of admission Nov. 30,1942 Date certificate issued December 4, 1942 by the Superior Court at San Diego, California Petition No. 9408-M 2471934 / Tom 2. Erice (Complete and true signature of holder)