HomeMy WebLinkAboutCICONE_CONCETTA_6514788No.6514788
Name Q.IQQ.IiIE~_.0_Qn.Q~J!tJL _
residing aL_R.!._~LJlJ._L9J,~~lc_~!J),],_~,-_!'~_~_~Yl~?}~t8:_
Age __5?years.Date of order of admission __~_~~_.__1~.I __t~5!.l:__
Date certificate issued .J~1J~J~y__l.B_..--195y.----by the
~:tQ~9_l}__~~~_~~Court aL W?-_~1.?-l:ggt 9_l}L _r~~~~_
Petition No,759.4 _
Ai 'R''N 712106°
len eglstratlon o~_~~~_-::-::~_
(Complete and true signature of holder)