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No. 5755850 br Name GEQRGE, Josephine residing at 3550 Wil shire Terrace, San Diego. Calif Age 40 years. Date of order of admission August 21, 1942 Date certificate issued Sept. 1, 1942 by the Superio Court at San Diego, Calif. Petition No. 8694 Josephis 4102681- (Complete and true George signature of holder)