HomeMy WebLinkAboutANDERSON_GUSTAV IVAR_4289057No.4289057 /
Name __{\_@EB~QN,.GlISJ_~Y._JYl:b.R ..
residing at-_5:Q?__J~p.__?_~!-,__~_~~~_~~_~~-,__~~P._~?.Y~~C!J!t~_
Age __52..years.Date of order of admission_..Januar_y-~O...,..-l93-8
Date certificate issued ~_~~?-~y__~9_'-__~9J~by the
_.c.Omro9JJ.__£l.€alL Court at-_Washingt.on,__I:enna._
Petition No.__J1.85________0/fl
______&~~v~-1h!d~__
(Complete and true signature of holder>