HomeMy WebLinkAboutCOSTA_MARIE TERESA_7449880No.7449880
Name Q9_~TA l1?R!~__1J'~_:r~_~~_
residing aL _B-J?_itJ ~__~~!.g~_~:tS_~9_'i!l-,__R~_._
Date of birth5!5l1,9.9J Date of order of admission_J.t!l).~_6_,.;tg55
Date certificate issued eI~E?__~1_J·_~5.2 by the
9_<!~9E__~~!'_~!J Court aL \~!i_~~_i.:~g!:~I),__!,_~!_
Petition No.73_9_2 _
Alien Registration No.__~7 ~9~.2;J._
-~~-~--~------------(Complete and true signature of holder)