HomeMy WebLinkAboutARCERI_CARMELA_3340595No.3340595
Narne ~C_~_l~---~~~-~~-----------------------------_
residing aL ~<?~__~~__~~~__~~~?~~~~~_~~__~~:_
Age ~~years.Date of order of adrnission ;[1;1A~__?1L_~~~?__
Date certificate issued JJ!t.l_~_.2.7.tA,__J.~~~by the
J~9.!@l~I}._J'J._~~_~Court aL ~.?:~!P:!1J~~~!1-,,__~~_"_
Petition No..2.Q~Q_}[9~_14
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(Complete and true signature of holder)---