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a No. 5490774 Name PALACIOS, Anthony residing at P.O. Box 551, Ponca city, Oklahoma Age 21 years. Date of order of admission December 3, 1943 Date certificate issued December 6, 1943 by the Superior Court at Sen Diego, Calif. Petition No. 10907-M 4146703 anthony Palacios (Complete and tha signature of holder)