HomeMy WebLinkAboutBUGAR_SUSIE_4165052No.4165052
Name J.?N9:.Jill.....S!I.SIE --_
residing aL_'H:SLR'\J.~ls9.n_AVfi..~_M.onongahelaJ __t>a.~_
Age BA.__o__years.Date of order of admission.__.r..amlar.y_~2.,._l9.3.7 0
Date certificate issued ..Januar¥--l2r-L9.~!7-by the
__C.Q.1II!O,on_P~eas Court aL W.ashingt-Q~_P..a....._
Petition No.~_97_6_o _
~~-~------------------------------------_._-----~--~(Complete and t e signature of holder)