HomeMy WebLinkAboutBARBIC_KAROLINA_4070919No.4070919
Name _J~~ARRIO .KAROLlNA.._
residing aL _Rox_7-3,_-S-trabane-,--.P-a....--------------------------
Age __3J3 years.Date of order of admission __SeJ)tem.ber.._2.8_~9.36
P ..N 2818 .
ehhon 0 ••••••••::.:?i:OJM~.liQ0i-<&.
(Complete and true signature of holder)