HomeMy WebLinkAboutBANNERMAN_JOHN_4165010No.4165010
Age __3.9 years.Date of order of admission._J:.anuary__ll,_~9..37
Date certificate issued J ?':'r].llJJ:r.Y._J..l.~_J-5~9_rL by the
Petition No.__.29li9 _
________Il~~---
(Complete and true signature of holder)