HomeMy WebLinkAboutCLEMENTOU_MARIA_6383471A.R.R.C.No.1153573 No.6383471
Name C_LEMEN1_QlJ~_.M~riJ;:_
residing at _8L1Llll.o.w-.3I2r ~-.S..t...#_BaLti.mor..e...~2~_Md..,
Age 2.4.years.Date of order of admission Dec.e.mber__17...l..9.45
Date certificate issued D.e.c.emb..er_lrz~-l9.45---------by the
Petition No.__'Zl31.._
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(Complete and true signature of holder).