Escolar Documentos
Profissional Documentos
Cultura Documentos
FOR THIS CLAIM OF THIS LIFE IS WITH THIS CLAIM BY THIS CLAIMANT. ~1
~1
~2
~3
FOR THESE WITNESSES OF THIS LIFEBIRTH IS WITH THE CLAIM OF THE CLAIM
OF THE LIFE-CERTIFICATE:_____________________________,
Charles-William: Smith
:_____________________________,
:_____________________________.
Daniel-Robert:
Jones
Sally-Marie: Fields
~4
FINGERPRINT:
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:AUTOGRAPH-WITNESS:
:________________________________
:AUTOGRAPH-WITNESS:
DNA-BLOOD/SALIVA:
:________________________________
:AUTOGRAPH-WITNESS:
:________________________________
:AUTOGRAPH-CLAIMANT-LIFEBIRTH: