HomeMy WebLinkAboutCHURCH_WESLEY HOWARD_6072341r...R.-rt."'(J.No.4319596 No.6072341
residing at _~gl,-6__'i~t.b__s.t.!.I_A~tQI'j.!l-l__~QD~-.I.~lan.~_Ci ty J
New York
Age 2~L years.Date of order of admission...J~y_.3.l._.l'a4~
Petition No.__68.1.6._
______~_~--~~--5t-~------(comp~e and true signature of holder)