HomeMy WebLinkAboutBRUNO_ROSE_5030038A.R. R.NO.5288544
No.5030038
Name BRUNO..-__R oB.e _
residing aL _6.0 _Har..ris.on_Str.ee.t.,-_W.asB.1ngt.on~_Ea _
Age ..3.9-years.Date of order of admission _Apr.1~_2.3.,__l.9.4~__
Date certificate issued Apr..1L-2.3~--1.9.4~-by the
-C..ommon.-P.1eaS-.-----Court aL-Wash1ngt..on..,.-P...a .....------------
Petition No.--5.13-3--------.-~!S~_
(Complete and true signature of holder>