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(Translation from Ukrainian language into English language)

MARRIAGE CERTIFICATE
Surname: Kevlishvili
Name: Irakli
Date of birth: 25.05.1972
Place of birth: Georgia, Tbilisi city
Citizenship: Georgia

Surname: Horban
Name: Nadiia
Date of birth: 13.04.1981
Place of birth: Ukraine, Donetsk region, Mariupol city
Citizenship: Ukraine

Marriage date: 20.09.2015


In marriage a 779 has been made from 20.09.2015

Surnames after marriage:


Husband: Kevlishvili
Wife: Horban

Registration place: Shevchenkivskyi district in Zaporizhzhia Registration office of


Justice department in Zaporizhzhia region
Issued by: Shevchenkivskyi district in Zaporizhzhia Registration office of Justice
department in Zaporizhzhia region
Date of issuing: 20.09.2015
Head of the Government registration office: (signature) O. Ilyina

(sealof Shevchenkivskyi district in Zaporizhzhia Registration office of Justice


department in Zaporizhzhia region
I-ZC 143771

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