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No. 5755871 Name NELSON, Norris Jean residing at Rt. #3, Lockwood, M1 ssouri Age 26 years. Date of order of admission Sept. 25, 1942 Date certificate issued September 28, 1942 by the Superi or Court at San Diego, Calif, Petition No. 9193-M 2324820 Morris Jean Melson (Complete and true signature of holder)