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No. 5490257 Name IMPICCINI, Giorgia residing at S. 30th St. San Diego, Calif. Age 48 years. Date of order of admission July 9th, 1943 Date certificate issued July 10th, 1943 by the Superi or Court at San Diego,-California Petition No. 9390 Groza 3074901 Emprocein Reg.598 (Complete and true signature of holder)