HomeMy WebLinkAboutBLANDINI_GIOVACHINA_5030249A.R. R.NO.4724058
No.5030249
Name BLAlID INI......j}_1o.:ia_ch.1na._
residing aL 41._Lat.1me.r _.Av.enu.e +-_S.tr.ab.an.e.,__fa..._
Age __65.years.Date of order of admission J1UlfL.a4......_H~41_
Date certificate issued Jiune_..24.,._~9.41-by the
-C-Omm en _P~e.as------Court aL --------Washilllgt.o.n.,.._f...a .....-----
Petition No.----5405-------'0 . .e9~_~~IJ~r-Vl.A.-__"V'J....
(Complete and true signature of holder)