HomeMy WebLinkAboutBRANT_ANGELA_7484363No.7484363
Narne ~~~Jt __~g~~~_
residing aL J.§_6_Q _Pj.~z.:Q~_A~~!l-~eJt _!Y~ll_I!t~~t_~1l1._!,_e_!lll~.!_
Date of birth __}L?~!.l~!~__Date of order of adrnission_?!.:l:.'U~~_5JL _
Date certificate issued .F.e.brual:Y_l.7......_l-SJi8.by the
Cammon Pleas C Washington,Penna.________________________ourt at _
Petition No.__?_~?~_
Alien Registration No.~~~9!>_~~__
--------=4~()dj7~----f3-~~-~-----------(C~i;te and true signature of holder).