HomeMy WebLinkAboutCHERVENAK_SUSAN_5362009A.R.R.C.NCo.1907I9~o.5362009
Name CHERVENAK.,__SllSan ------------
I
residing aL .'lIB._Sl:.ort-_81..-,-_Canonsbl1rg-,.-.Fa-..-----------
Age __-5.6 years.Date of order of admission -Ma.r-ch_24-,.-l94.2
Date certificate issued .Ma..rch-24-,-_~94-2 by the
___C_Qmmon _P~e..a.s Cout aL W.ashin~ton,-Ea _
Petition No.---52-37--------
~~-~!_--~----------------
(Complete and true signature of holder)