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Birth Certificate

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Submitted By lilymua
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Certificado De Nacimiento Estado de Maine

Nombre del niño: Primer nombre Primer apellido Segundo apellido Dennis Conrad Levesque

Fecha de nacimiento Sexo
7 de Abril de 1951 M

Lugar de nacimiento
Pórtland Cumberland

Nombre del hospital
Maine General Hospital

Residencia de la madre: Calle P.O Estado 48 Brackett Portland Maine
Residencia legal: Pórtland Cumberland Maine Ciudad Condado Estado

Nombre del padre: Color: Edad:
Conrad Paul Levesque W 35

Ciudad y estado de naciemiento:
Brunswick, Maine

Ocupación: Tipo de negocio:
Cocinero Splendid Cafe

Nombre de la madre: Color: Edad:
Helen Mary Gallagher W 24

Ciudad y estado de nacimiento:
Presque Isle, Maine

Otros niños viviendo: 3

La madre firmo la aprobación de los archivos:
Si X No___

Asistente: Edgard S. Sherwood Titulo: Medico
Dirección: Pórtland, ME. Fecha Firmada: 4-17-51

Registro por la fecha de recepción por el secretario en el lugar de nacimiento: 4-20-51

Por la presente certifico que lo anterior es una copia real de un certificado o documento en el que esta en mi custodia.

Fecha de archivo
Julio 11 de 2005

Ante mi, el infrascrito Notario, llego y aparecio Edili De Jesús con el idioma de Español y Ingles, quien despues de haber sido debidamente juramentada, hizo declarar que ella es competente en el idioma español y la traducion anterior es verdadera, exacta y la traducion literal de los documentos oficiales proporcionados a ella:

______________________________

Jurado y suscrito ante mi este _______ dia de ______, 2014

____________________________ Peter R. Brigandi Jr., 24317 Notario publico, Mi comision es por vida.

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