HomeMy WebLinkAboutANDLER_MARY_5362165-----~&!_--------------
(e plete and true signature of holder)
A.R.R.C.No.4320669 No.5362165
Narne ~I>~~t--~-~:r--------------------------------------_
residing at.B .._::.D #~.,__W_,,-~Brownsvill.e-t-_P.aL _
Age ~~years.Dat~of order of adrnission __~~~__~'__~~~~_
Date certificate issued ~~~9::t _~'!~?by the
.__9.C?~9J!_~~~~~Court at.J!~~~_:i:~.&~~,__~!_
Petition No.__5.2~.3 _