HomeMy WebLinkAboutBRASSART_LOUISE_4289164No.4289164
BRASSART,LOUISE .Narne _
residing aL I29~__:l:.?~.L _49_~_JU·g1).J-_~n.(Lj~yJ~!+_LQcJ~_.No_...4_,
Pa.'
Age 4;?years.Date of order of adrnission_.Apr.il_ll~-1.93a--
Date certificate issued )j.gr~~l_11-.,__}'_~9_~by the
____G_Qmroofi _P_1BJlS Court aL __1Y.09nj-.n&-~9.n,__:t'~)1P._~#_
Petition No.__.Q.2.5.6 _
--!c(~-C8~r---------(Complete and true signature of holder)/