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Name __~15A~9)~~J~1.)~Af3~...__
residing at.L.~n.G9_~ttJll~~,._J~~_o__J1!_J)_o __#_6._
Age_.3.6 years.Date of order of admission.January__1.3.,__1.9.36-
Date certificate issued c!~I!~"!-!.~_).:9_,__!:.~~~by the
__C.Q1D.ill.Qn_Pleas Court at.Washing to.n.,..-P..a~---_