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No. 5773322 Name ROSE, Nils Ernest residing at 233 Roosevelt Ave.. National City, Cali f. Age 65 years. Date of order of admission Noy 13, 1942 Date certificate issued November 27th, 1942 by the Superi or Court at San Di ego., California Petition No. 9123 nits 1923822 Ernest Rose, (Completé and true signature of holder)