HomeMy WebLinkAboutBARISH_JOHN_5029842A.R.R.No.1946514 No.5029842
residing aL __~3.3_.s.mithfiel.d_~tr-.eat.,__C.anons-burg.,._.Pa.
Age 5.'L_years.Date of order of admission __J~.n\lAt'Y-_~_~...__lJ~4J
Date certificate issued J~t]."-~rx _.2.3..,.._.194:..1 by the
P ..N 4980etltlOno._~------19
.------------~--------------------------------(Complete and true signat e of holder!