HomeMy WebLinkAboutARNICH_VELKO_5362107A.R.R.C.No.4215239 No.5362107
Name ~-mCJl~__V~);}·~_~_
residing aL:e~~L _.~~,_~~_Qb.~ntll~~~_._
Age __i~years.Date of order of admission JlmO__8.._1.9~_
Date certificate issued JunEL8-#_~942 by the
_Q.ommon_El.eafL Court aL 'Washingt..on.Pa.
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Petition No._5B6.5_________()~.....f7
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(Complete and true signature of holder)