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HomeMy WebLinkAboutBARCZUK_MRS THERESA_D.I. 6981; PET. 6514RS (OVER) I Given name or names THERESA ress Family name Ad~AE.CZUK Names and addresses of witnesses -409 Tb~~son Ave.,Donora,Fa. C8rffilcate no.(or vO:a page)1 TItle and IDeation of court D.I ~98Ji Pet.6514 Country of btt~or 81eglance I When born (or age) Folsnd Nov 15 1891--51 yrS. Date and port of arrival In U.s.I Date of naturJalluzatNlon 17 1943 Apr 11,1913,New York D.I.Oct 15 1940--Pe-t-~---il!5(J743---'-------------------------------------------------------------------------- --------- ----- ------ ----------.----------- - ----------.-------------------------------.------------ U.S.DEPART)IENT OF LABOR,Immiiratlon and ADDITIONAL INFOR N IN COURT RECORD Certl flcale cancel ad <dale and court)_---------------------------------.--------------------------------------- Why cancelad------------------------------------------------------------------------------------------_ Expalrlaled ---------------------------------------Deceased-----------------------------------------------_ Other facts of record_§_eJt __QtAer .o_ar_d~_:_Bar.c.z.uk...--Ear-anka---------- U.S.GOVERNMENT MINTING O'Flcf;14-3202