HomeMy WebLinkAboutBALL_ETHEL_6463152No.6463152
Narne ~A~_~J __~t~~_~~_
residing at-__~J'_~Q._~:rJ:.Qkt;9~-L _~_~tlJ~~Y)~~tl_~-'_
Age __~~_':years.Date of order of adrnission_J!Q~~~~_~_~,__!~~7
Date certificate issued ~9X~!@~_~__Q,__}._~~J by the
__.G ommQ.O_J~l~Q..s Court at-Yie.~JJ.j.J~ett9Jh__~~_L _
Petition No.__-73.50-_
Alien Registration No.46_'l6~3.l__J
---~~----~---------------------------(Complete and true signature of holder)