HomeMy WebLinkAboutBULLOCK_WILLIAM_4634947No.4634947
residing at ---..3 R4 -East-.Ma.-ide n.-S-t-•-,--lfla sh ing-t en j - -P a-.--
Age __-.'37-years.Date of order of admission _--Jan...-.9,--1.94Q-__
Date certificate issued JIa.PJJ.a~y-_9_,._~9.4_Q by the
__-C.ammon....Ple as ----Court aL --Wash.ing-t on.,--P.enna..-----__
Petition No.__All3.-_
I I ~~~:_~~~----------------(Complete and true signature of holder)