HomeMy WebLinkAboutANDRICHUK_WASSIL_6514705No.6514705
Narne ~~!t~9~~._~~_~~~~~_
residing aL ~~~!':~~;~~~_L?_~!1E~.l~Y..~_~~_
Age __.65 years.Date of order of adrnission __JuntL9...._~95.2 _
Date certificate issued .J~~__~_L~~?_~by the
__Comm.on-_F~ea.s Court aL __Wash1ni-ton,__~e.nnlU _
Petition No.'Z5_7-2 _
Alien Regi,t"t;on N°/J;=lt_A~_.o4J----_
(Complete and true signature of holder)