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No.5030223
Narne aA~,---~~r-all-----------------------_
residing aL_~3.l_C.hurch_.s.tr.eftt.,--W.ash1ngt-on...__Ea ...._
Age 42 years.Date of order of adrnission __June__2A ,__lR4~_
Date certificate issued June__24.,_-.l9A ~by the
C_ommon_P-.le.as Court aL ----Wash1ngt-on~-.Fa.....--_