oFrCE THt CVL GISTrAA GEHERA

REMAFSJANNOATON
CERTIFICATE OF LIVE BIRTH

inkkaty nhiLurniar LDAa). Aeglstry Ho.

LOCK NA VILLORE
9. DATE OF BIFTH

LACE oF 1942
BATH NosaCale /rattuln/ (Oty/uritpalit
TYPE OF BIATH Tobina Pornir Antique
Ing IF MULTIPLE B&TH, CHILD WA9
nd

d. WEIGHT AT BARTH
Jrd e ond, third,a.
& MAIDEN 222
NAME
7. CHIZENSHIP Ncabnd
8 AELUGION
Tot Aipino
incuding
h birtn:O3 bom dm but
t0. OCCUPATION

RESIDENCE HouneNo.HousePG
12. otinis bith
Stret, Barangay)
13. NAME
oino)
tta
14. CITIZENSHIP
H
15. AELGION
16. O0CUPATION lidn
18. DATE AND
PLACE OF RARRIAGE OF PARENNS
eknoiadgment/Adlan ol Paienltydthe buck) nOt Marled, accompah AMdat
12a ATTENDANT Jun 19, 1932 Dao Anlque
195
CERTIFCATKN OF ERTH

Antial
FRESAREO EY
THE CVL REISAR