HomeMy WebLinkAboutCIIABATTARI_RALPH_3925625No.3925625
Name ClAB TTARI~__Ralph _
residing aL 11 J _J'.a.iu_S_t ._~_Rur.gatt.s.t.o.wn.,._Ea..-_
Age __AD years.Date of order of admission-3a.nU~~1'~-1-..3T-l93-6
Date certificate issued J...auu@.Xy--13-,.-.19..36-----------by the
Petition No.~79-4 _
/f1 .IJ~I ~_i!~~~_
(Complete and true signature of holder)