EFTA00257888.pdf

6tg (ez.a -fizc°c4 Ce, a EFTA00257888  RHODE ISLAND DEPARTMENT OF HEALTH CERTIFICATE OF LIVE BIRTH STATE FILE NUMBER I DATE OF BIRTH THE OF WON SIX 8:13AM FEMALE- PLACE OF BIRTH lE OF BlitDi CERTIFIERS NAMEMTLE ATTENDANTS HAMM-I-ILE MOTHERS DATE OF FIRTH SAGE I I • FATHERS RAW / RAT NER'S OATH Of 1)R111 FATHERS AGE NM BIRTH o4 1 I I I I GOVERNMENT EXHIBIT I I I hereby certify that this is a)true and exact oopy of the document officially relgistered and placed on file in the issuing office. Issuing STARE OFFICE, PROVIDENCE. Date of 2324351 Office Issuance Signature of Registrar THIS COPY VALID ONLY IF ISSUED ON WATERMARKED PAPER CONTAINING SEURFTY FIBERS, DISPLAYING SEAL AND SIGNATURE OF STATE OR LOCAL REGISTRAR EFTA00257889