HomeMy WebLinkAboutCOLOSI_ROSA_4070927No.4070927
Name __Q9J:!9~:J:.,B9~~_
residing at-_lJ.~.1_.s.ummerl.e.a_.A~e ;._a.s.hing.t on ~__P.a.e-_
Age~?years.Date of order of admiSSion Se.pt..embe.r._2.8_~93j
I
Date certificate issued S_ep_temb.e.r_.28-_1.93_6 by the
__TIOlllInIDl_E~eas.Court aL .Wash i ngt.on~__P.a e--_
Petition No.__2.90.5________(/?
____li~~.iA~_
(Complete and true signature of holder)