📄 Extracted Text (317 words)
QBDAC 397343
Application
Number12248191-1
CERTIFIED COPY OF AN ENTRY
NHS
Rumba/ Fil t V (4 'a' . :a. Z:
BIRTH I Ent"
225
I is ''
Adaniseallve Mee
P..644stralion district 'Um atp-o..O
Sub•dwakt en ... a c%-r-I,Q.Q0 1rlf., \ -4
1. Data and plate of birth
a
2. Nemo and sumamo Sex
—
am% tgems-ois.O A etra G .. ti. S • - >r 0,-04- 61 .
4. Name and macaws FATHER
c• •
___ . ictert •
b. Piece al WM
0. Occupation
...)
7. Name and sumame MOTHER
C.1 ,3-.4 ‘....,. a C.N• to " r
a. Place of FA.`
a(o) Moldon Demons, 1 • ) Surname at manage
If differs:et from
amt. s_ rzi maiden surname
10. U.ual address
III different horn
piste of child's birth
‘ 5 ' '
IL Name and sumame LII not the musher w IMMO 12. ClualifkoSon
JIM mrt—ces •
U. Usual eddroc (rf dillwont from that In 10 above)
... __
la I coify IFS Me psmeol ars emceed above am heft to the lieu of my ••••••MORM end REA
Sionaturc
K4-.6.6 w9„•• of infoiment
15. LultO of maisoauon lu. Signature ol MOAN/
,-
'' .C . NON ( 1- 0 a' A
17. Name Wyse
otos moistiv.on.
6 .... • ....am.
CERTIFIED to be a true copy of an entry in the certified copy of a register of Births, Still-births
or Deaths in the District above mentioned. Given at the GENERAL. REGISTER OFFICE, under
the Seal of the said Office on October
15th 2021
'If ibc Centhcale satins, from tneonsinal Retiree. ibe words 'we mewled copy or an amok Out.
CAUTION: THERE ARE OFFENCES RELATING TO FALSIFYING OR AIXERING A CERTIFICATE
AND USING OR POSSESSING A FALSE CERTIFICATE. 0 CROWN COPYRIGHT CTO
WARNING: A CERTIFICATE IS NOT EVIDENCE OF IDENTITY.
2O‘0117 APSFAIS?
SDNY_GM_02766968
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00253776
EFTA01335795
ℹ️ Document Details
SHA-256
32706bd118eb64cd08db3b76ddcaec1415e9f682378406b1f6298c16c58da156
Bates Number
EFTA01335795
Dataset
DataSet-10
Document Type
document
Pages
1
Comments 0