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No. 5774260 Name HASSELL Louis residing at 145 Fillmore Ste, San Francisco, Calif. Age 21 years. Date of order of admission March 26, 1943 Date certificate issued March 27,1943 by the Super ior Court at San.Diego, California Petition No. 10044 M 3854820 Louns Hassell (Complete and true signature of holder)