HomeMy WebLinkAboutBOSAK_MARY_4288907No.4288907
Narne __J3011A!C.~Rj(._
Age 42.years.Date of order of adrnission __Apr-.iL_l.3_~93.7 _
Date certificate issued .._..._Ap'~j..l.l_~_.l9_~7...._.._by the
___9_QTIl1l19JL .I:Le.a.s Court aLWa shing±-on,..Ea.-e-.....__._
Petition No.~_Q9J../J j
_.~-~~-~~----_._----1.("f2-~~;nd·true signature of holder)