HomeMy WebLinkAboutCINRICH_JOHN_4634984No.4 634 984
Kame ~~l_CII_~---~~---------------------------_
residing aL _C.ok.e.burg,._Eemsylvania _
Age __~years.Date of order of admission .Jan.__10_,._~9-40-
Late certificate issued __J...anuaxy__lO ,--19-40--by the
____C.o.mmQn_P~eaS Court aL--Washington,--Eenna.-------
Petition No.4l3~_
__fl~/.1~__~_-o"!<C --=(Complete and true signature of holder)