HomeMy WebLinkAboutBRASSART_KLEBERT_4852808No.4 852808
Narne BllASLSlURT~---~JS~~------------------------_
Age_41 years.Date of order of admissionSep-te.mb_er__2.5,~9~O
Date certificate issued ~ep-temh.er __25.,.1940 by the
Petition No.---4.5.'1~--/3--p7 ~I;)~~-------------------------------(Complete and true signature of holder)