HomeMy WebLinkAboutBAINBRIDGE_BETTY ELMA_7478319No.7478319
Name ~_~J:l'!l?~Jpg~_,£3~_~~]l_~J:!!!.~_
residing aL _~!Q!Il~1__?~!'E_~~_~~~_<?~r.!l __~~I)Q~YJ.Y.?At~_
Date of birth_9iJ._Ql:l:.9~.LL Date of order of admission __l±!.~3i1.9-.5~_
Date certificate issued ApRi..~L?3,--l-<t5.Q----by the
_CJlmm.Ofi_Ple.as Court aL_~~_~~J:.I!~~~!!L _:f~_I!~_~!_
Petition No.__I ~?_~_
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(Complete and true signature ·cif.1fol~).