HomeMy WebLinkAboutBALAZ_ANNA_5029811A.R. R.No.2684475 No.5029811
Name ~~~~_~,~_~~~_
residing aL_~1al.n_.s.tr.eftt..__BJ~X_Aa,__~us.e_,._Ea.L _
Age __5_0 years.Date of order of admission _~anuaI'~_2.2 -1 __L94~
Date certificate issued J.anuary__22 ,__1 9-4 ~by the
_C_omrnDn_.P~e.as...Court aL_Wash1ngt.-on,._.£S.L _
PetiHon NO •..A91l:~..dt /(.
(Complete an~re of holderl