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CERNAVA_STEFAN_4476981
No.4476981 Narne g~~~~~~!~~~~~~_ residing aL ~?__:r~:r;~_~_~_.L 9_~g9~~{PJJ:rg ,__~~)}rr~~_ Date certificate issued ~_~pJ~.~!l!9~:r __?7_.L _~~Al?by the Common Pleas Washington,Penna.________________________Court at _ Petition NO.-3A3.3.;t---~---~~ 'vOvvV"tof/l/a -~----------------------------------(Complete and true signature of holder)- - - - - - -