HomeMy WebLinkAboutBASISTA_MARY JOHANNA_7478387No.7478387
Name ~~~_~~~~~~~~_~~~_
residing aL __Ji..._:Q._.1--.-_lV~_s_t_tJl'.mm8Y.i_Ue,,_~Q.ooa .._
Date of birth __6Ll91.~e.~J Date of order of admission __§i!9!19Jn _
Date certificate issued t!~~t),9.__~Q~1 by the
______Q~~~_~A~~~Court aL __~~I!~~~~~~__~~!!!,!,_._
Petition No.'l~'-~~_
Alien Registration No._?.9)~~~~_
&#!;{-~~d3~~----~--7:1-~~mPlete and true signature of holder).