HomeMy WebLinkAboutBACHNA_HELEN_6514872No.6514872
Narne B_AQl1NJ\Jl~Jl~D _
residing at_jfJl_~_~!'!l~j:;_~~A_rJ,~.rrI_J?9}~_J.71u._9_~AC2!1_f!!?~!,gtP B
Age __5_8 y ears.Date of -order of adrnission !tC2'Y_.__.as __195lJ._
Date certificate issued KQv..__B_,._.l95.4 by the
_.Q.9mm.9J:LJ:)1~~JL Court aLJ'l~§D.J~tlgtQI}-,_J)_~~_
Petition No.71_Q4._
Alien Registration No.__.5~611-7~_
_~~Jt3?~~~_
(Complete and true signature of holder)