HomeMy WebLinkAboutAMISTADI_ESTELLA IRENE_4289157No.4:289157
Name AMISTADI.t ESTELLA._IRENE-_
residing aL __.B.9X_lil?-_~~__LJ~Jlge.lQ:th-l __P.e.nnsy~Y.ania _
Age .30 years.Date of order of admission_Apr_il._ll.,__19.3B __
D:ite certificate issued ~J2r_:tJ __1.1,__l~_~8 by the
__~~~1!1~~__r:].._~~_~Court aL JliJashingt_Qu+-_P_enna......_
Petition No.~?_~~_
~~-1~---~~~__
(Complete and true signature of holder)