HomeMy WebLinkAboutBRISKI_JOSEF_5465888A.R.R.C.No.1676673 No.5465888
Name 1}!l1~-,-_~:J~$~f_...._
residing aL_~_~~~~-'__P_~!l!!~Y-~~~J:~_
Age ~~years.Date of order of admission __~~_~__J.:~-,__~~_~_
Date certificate issued .:r~~__~~'-_J.:9~3 by the
_QQJ!l.!IlQ!1__pJ,~~~Court aL Yl~h~p"g~_~z:l_,--~~_._
Petition No.63.6.9 _______,
;10/)01..----~~-~\J-~----------------(Complete and true signature of holder)