HomeMy WebLinkAboutBALOGA_ADAM_6072274A.R.R.C.No.1593062 No.6072274
Name __ft~t9~4~__~g~~_
residing at_f39X~~,-_~;p:g~tj;_s_~Q'!!l_L.?_e}!!l~Y_~~~~~~_
Age 5Q years.Date of order of admission _eI§'!lJ!C!::rY__~Q -'__~2.4-1_
Date certificate issued .J".9.J],y.§.J'~_.?_Q'_-1.241-----------by the
P_QIDm9!l_E.~~~~Court at J~'_~~h~!l_g~9!!'-_!'_e~I!.~~!y~!~
Petition No.__Q2l.Q _
-~~~~--~---------~-------------(Complete and true signatu of holder)