HomeMy WebLinkAboutCHIERA_DOMENICO_5029913A.R. R.No.4012522 No.5029913
residing aL .M~A~~tQ-9~~9....._.fEl_.---------_------------__
Age __9_~years.Date of order of admission __.-Aprll_.2l-,._~9_4L
Date certificate issued ApJ~jJ,<_.2.1-,__lJ~~1 by the
Co.mm.QO__P~eas Court aL .washing.t.on~-P..a.----__-_
Petition No.__~9Q.3 _
~/1 A-\..-~A:-11._..LG __f11)~<1fl:f..~~_p P (I r;(r ......,r ..,/.(~and true Signatu;';'c1t holder)