HomeMy WebLinkAboutBITONTI_MRS ROSE_4550119No.4:550 119
residing aL ~~_~<:?-~_~_~!1_~~-1-~!l~..YlYMi~_
Age __14 y ears.Date of order of admission_J:~nUary:.-9~-l9'}9-
Date certificate issued cJ:.~~?-~y__9-,__J..212 by the
____~?J!1~<?!1:_!'3:~_~?Court aL _Vi §l.J~p.j:pgt&:o._,.._PJ~nna _
Petition No.__15?_~_
.~_._~-~'----------------
(Complete and true signature of holder)