HomeMy WebLinkAboutCLISH_WALTER_5361844A.R.R.C.No.2976246 No.5361844
Name Q~~~!!~__~~~~~~_
residing aL ?~_~~~J;l__~t_!l __I!-~~~~Y_~~_:I:~~~_l~~_
Age_3_4 years.Date of order of admission ..Ianuary__21,_~9.4:;:
Date certificate issued _-Januar~_21 ,_-1.942.~by the
__Common._Pleas Court aL :ashing~-P-a.-------------
P'tition NO._.5629_%~__~_
(Complete and true signature of holder)