HomeMy WebLinkAboutBIKOWSKI_ANTONINA_6072272A.R.R.C.No.1865899 No.6072272
Name_.J3IKQWSK4-Antonina _
residing at ....Back-.8.t..,-t-_Goa1_C.eIlter,.-Pa......._
Age __.6.5'years.Date of order of admissionJ.an~_20.,..._19A.4.
Date certificate issued -Januax..JL2Q,._l9-44-by the
__.GQlnmQn..-P~eaJL __Court at __WaSh1D~tQn.,..-Pg.L---------
Peti(;on NO.6li9li_~~,
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(Complete and true signature of holder)