HomeMy WebLinkAboutBODAK_ANNA_4635148No.4635148
r~arne B~JDAJ[~~-----
residing aL -B.ox-258.,------Dais..yt...own ,__Pa.------------
Age 50 years.Date of order of adrnission_.Ap.I!il_l8~_1.9.4-Q __
I:ate certificate issued -Apr-iL -1B.,__19-40 by the
"'.£1J hi t "Pa..__.\..Lomrn.on__e..a.s.Court aL __Was ng ..on..,.._
Petition No.4.346 _
~~~-~~------------------(Complete and true signature of holder)