HomeMy WebLinkAboutBUDNY_ROSE_5361888No.5361888
Narne __~~_~~_~_
residing aL ~~~!,g~!>_~~_~~~_,__~~_e _
Age_~-'Z years.Date of order of adrnission __c!.§'l:l!~~!'X _~~-'__~~~2
Date certificate issued ~§l_!!-~_~!,X _?:.~-,__~_2 :t_~by the
___~qJ'!l!I!9~_~~~_~?Court aL _~~~_l)~~~C?!!~_R§l_~_
Petition No __5'!7~:::__~~___
(Complete ar.d true signature of holder)