HomeMy WebLinkAboutBRECHKO_THERESA_5361933A.R. R.C.No.4538374 No.5361933
Name J3R~CJ%_Q,__rrherJ~s_~_
residing aL AY~JJ-_~$__:p~!-_
Age __~'9 years.Date of order of admission.JanUar~_2.2.,__L9-42
Date certificate issued Janual"-:y __22+_~9A2 by the
__C9JlJ.m.QlLr.le?_~Court aL J~asj}ing_ton,__:t?~_.._
Petition No._S6f>5_________a !J3~o-
~~--------------------------------------(Complete and true signature of holder)