HomeMy WebLinkAboutBACHKAY_MARY_4635006No.4635006
Narne ~~)(,-~---~)(--------------------------------_
residing aL ~~pg9-h~J9--'-_~~~_!_,__fJ._.__~!__jtJ..,-_
Age_~l years.Date of order of admission_Jan_.__~Q.,__l.9.~.Q _
Date certificate issued lc;pJJqJ'''y __JQ_,.__19_40 by the
__Common _P-le.as-_---Court aL ---Washingt.ont--P.e.mla..-_
Petition No.__4J.JZ _
ht-~A~M/t.~----------------
yomplete and true sign~t-u;;;ih~lder)