HomeMy WebLinkAboutBRACCO_MODESTA_6072524A.R.R.O.No.2869026 6072524No.
Name __B~CC~_][Qd~~a _
residing at __835_14e.a.dQW__St •.,_C.al.Uorni.-at-_Pil-.._
Age 60 years.Date of order of admission_.J.lIDe__13.,_J.2.44-_
Date certificate issued ..J.une_-.l3.,_~9~A by the
__.c..ommQn_P~e~Court at_Jla.shin~'t.6n..t___~a ..-__-_-----
Petition No.66-9~-;j:ji;;d ~~_
(Complete and true signature of holder)