HomeMy WebLinkAboutBATUSIC_EMBRO_5362062A.R. R.C.No.12486>74 No.5362062
Name BAT_US_IC_,_EJ1l~:r~L -_-_--------------
Age_51 years.Date of order of admission MaJ~_CJL.25.J-_J..9~_~_
Date certificate issued Xar.ch__Z2.,._.l942 by the
_Common _P ~eas Court aL WaJ311_tng-tQn_,-_E~_._
Petition No.--5-7-9A--------~_________6~~4 _
(Complete and true signature of holder)