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Birth certificate

Citizen:
Last name: Ivanov
First name: Ivan
Patronymic: Ivanovich
Was born on: June 1, 1985, nineteen hundred eighty five
Place of birth:
City: Moscow
Republic RSFSR (Russian Soviet Federative Socialist Reu!lic"
Registration thereof was recorded in the Book for Registering Birth !ents on June, 11,
"#85$
Registration number #$95%
P%R&'(:
Father:
Last name: Ivanov
First name: Ivan
Patronymic: Ivanovich
thnicity: Jew
)other:
Last name: &etrova
First name: 'elena
Patronymic: &etrovna
thnicity: (artar
Place of registration: )eart*ent of +ivil Registrations, ,rasnoresnens-i. )istrict
*ssued on June 11, "#8/
(eal affi+ed: Moscow 01ecutive +o**ittee, )eart*ent of +ivil Registrations,
,rasnoresnens-i. )istrict
Head, )eart*ent of +ivil Registrations:
Signature
VII-M
Stamp: Written in mothers passport on
07/4/1986. Signature.
Translated b !r. ". ". "#ano#$ tel. %0% %%% %%%0
" &erti' that " am &apable o' translation 'rom and into (ussian language.
" &erti' that the translation 'rom (ussian is &orre&t and true to the original$
and nothing has been omitted or added.
)))))))))))))))"#an "#ano#$ ))))))))))) %00*

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