Paina aS a STATE OF GEORGIA CERTIFICATE OF LIVE BIRTH Death Nona cca rienuraer | 1. sine Fe amber 20106A000124049 Soar FZORTE OF BRTH Wo Day Year] CEO ORT TTS BRIT ge TwaToR ERT TOF NOT SNGLE SPEGRY SRT OROER TITTY TOWN, OR LOCATON BRT LAWRENCEVILLE Ta FOSPTALFAGIITY NAME Wn Poa SST ana NTT FEF ROTTOSATAL Spec fe COUNTY OF BRT nner? aN. nase Fema Cas ome) EDRTEOF BRT Qies Bay YearT ESTATE OF RT hot USA Name Gein) FRESIDENGE ST COTY loconcn lover uum +192 PARKSIDE CLUE OR 1102 PARKSICE CLUBOR LNT re oN) vino TERTERS WANE FRET TEDATECE ARTA [ST STATE OF RTT (0a. Yeon USA. Nae Couey) Ea GRANTS WANE Tie PT SEE RETATIONTOCHED | SSPARENTS AUINGAIZE RELEASE OF RFCRMRTIONTO worren CHLDA SOCAL SECURITY NUMBER crn) ves gecronaty anedy TEORE SED AeRGENT ATS SEE TO wane) CEYLON ROMANO srt) wo. 7H CERTIFER (ype oP (Name) EVA SiH (ee) _ BIRT RECORD cLeRE wEDICAL 6 No. [10‘CERTFIER ALG ADDRESS Gust oT AFD No, ClyerTown Sais Zp] “47 REGETRAR ra pp toa Sones ‘5/Debon6.Adels aE RTE RECENED BY STATE REGISTRO a Bay VORTT rose ERREARPEET PEDO WARNING: 495480 PSE ERE bila ca koala [PRP Les SEE ENN OF 1 Sa OOOSIBSE TIA ales aa OCT 18 2012 Registrar