HomeMy WebLinkAboutBARTUSIAK_MARKO_5466226A.R.R.C.No.1563334
No.5466226
,
residing aL __R....._D.-it5-J-_W.ash1n~ton,_-Pa .._
Age_50 years.Date of order of admission __Ma.r.c.h_24t_~9A3-_
Date certificate issued ~r.g-!l__~f1:,__:l.9.41 by the
.Q9~91LJ:>J._~€l_~Court aL_W~~l].tl1Kt9n,_J?~!-_
Pethion NO.__~f3.JJur;tu.1--~.
(Complete and true signature of holder)