HomeMy WebLinkAboutCHMURA_JAN_5465992A.R.R.c.No.3409'752 No.5 465 992
Age __46.years.Date of order of admission __-tIanuary__rl,_-l9.44
Date certificate issued ~anuar1-._11.,__19.44.by the
P ..N ~62'JetItlOno.__y """________~
~~~----------------~(-----------(Complete and true signature of holder)