Back to Results

EFTA00257872.pdf

Source: DOJ_DS9  •  Size: 1106.1 KB  •  OCR Confidence: 85.0%
PDF Source (No Download)

Extracted Text (OCR)

n a9t tcif ;take. EFTA00257872 os-ao (cloy 1/131 CENSUS 5u* TRACT DIVISION •I-OPAYRWTHi!et'cPn C AC a la PARTMENT OF HEALTH CERTIFICATE OF LIVE BIRTH FIRST 4 . MIDDLE F LAST 4' 11 2.. SEX" NALE FEMALE .• .'...:O : • : gj 3A IS THIS Beth. stE TWIN ogler apeury) o 3B. IF NOT SINGLE BIRTH FIRST SECOND . /TORN O 1 Y bian,,s..,,, S. 4A. DATE OPINFITH 18. /I UR TM SA MIDDLE E SC. STATE OF BIRTH USA) ' 60 SOCIAL SECURITY NO LA tki DIN NMIE 7A, RESIDENCE STATE MI 1 78 COUNTY 70. IF CITY OR WAGES RESIDENCE WITHIN CITY OR VILLAGE LIMITS? O IF NO, SPECIFY TOWN 7E STREET AND NUMBER OF RESIDENCE . I s ZIP CODE 8 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) ZIP CODE ' FA MIST MIDDLE • LAST St AGE • NAM! SC. STATE OF BIRTH IF NOT USA) SO. SOCIAL SECURITY NO. I 0 A MS LAST OF MC OF Z.:FORMANT 108. RELATION TO PITIANT • motttet • . IA. FIRST MIDDLE LAST NAME' IMO TITLE 6 c8... MIT:MI FE OTb4ER 1 X 3 4 5 (3908841 12. AILING AGGRESS I ZIP ISA. &wi s n THAT HE CHID SIGNATURE STA INFORNATION CONCERNING THIS 1311 DATE SIGNED 14. NAME OF ATTENDANT F OTHER THAN CERTIFIER TITLE MONTH DAY YEAR I ISA. MOHAN/ s5C. INFORmA ION ADDED OR BY AMENDED ' 160. DAYS MONTH! DAY YEAR MONTH DAY YEAR I REASOPI For Government Use Only District 2951 This is to certify that this is a pug. and correct copy of the original Certificate of Birth on file in the Office of the Registrar', ThitittNorth Hempstead, County of Nassau, State of New York. Signature : Date No. VS Form TNH SR 7 /2000 MS tc/rvs .Registrar of Vail StatisticS OCT 0 5 2021 N.B. Do not accept this copy unless the raised seal of Me Town of North Hempstead is thereon affixed. EFTA00257873 VERIFY PRESENCE OF WATERMARK HOLD TO LIGHT TO VIEW tfie Commonweaft6 of 210assac6usetts R DEPARTMENT OF PUBLIC HEALTH REGISTRY OF VITAL RECORDS AND STATISTICS Commonwealth of Massachusetts Registry of Vital Records and Statistic RECORD OF BIRTH 111111 ii 110 REGISTERED NUMBER: L STATE FILE NUMBER: NAME: SEX: FEMALE PLURALITY: -SINGLE DATE OF BIRTH: . TIME PLACE OF BIRTH: GREENFIELD, MASSACHUSETTS NAME: SURNAME AT BIRTH OR ADOPTION: BIRTHPLACE: ATHOL,. MASS AUKS ET TS AGE OR DATE OF BIRTH: -. PARENT NAME: SURNAME AT BIRTH OR ADOPTION: - BIRTHPLACE: MONTAGUE, MASSACHUSETTS AGE OR DATE OF BIM: • - AT-BIRTH RESIDENCE: DATE OF RECORD: ATHOL, MASSACHUS Eris DATE ISSUED: JULY 27,2021 Registrar of nod Statistics 1, the above signed, hereby certify that I am the Registrar of Vital Records and Statistics; that as such I have custody of the records of birth, marriage, and death required by law to be kept in my office; and I do hereby certify that the above is a true copy from said records. IT IS ILLEGAL TO ALTER OR REPRODUCE THIS DOCUMENT IN ANY MANNER EFTA00257874 a 1 2 a v A S v 3 i A v A A O • tl A O 3 8 iv A a A 14 p A 3 a 3 A A S H A a n H c N 3 H a H 3 • A; 1 W A a s • g El A L c a I4 la H IN ner n n c is norm om ~iv Vemeginno PAPI31 AND cowmen WARNING , DD NOV WIMPY NTII4OUT VERA= WE PMESEICE OF 1143 WA THE DOOLIISIT MCI COITAIN8 A 8153UNTY ~MOUND AND 0.1.09SED SEAL THE SACK Ø4248 i anon ~ ~Ham / / r-- 3 H a a v A S a A 3 A S 3 A a 44 S v S v A v A S S a a 3 1 A A v A H S A 3 v S EFTA00257875 C WINO) 00 II th.1 SACRAMENTO COUNTY SACRAMENTO, CALIFORNIA ti ETATI QOM GaTIFICATI AMIN CERTIFICATE OF.LIVE BIRTH -STATE OF CALIFORNIA AgcsrMATION 0/groGT AMT GoinirGA/g mmOOt THIS CMILD IA. NAME OP C101.11—POST I No AROMA . 'a : Mlle I IG.I.AST . Female , ZIA. TIPP *MTN SINFUL Iwo) so. ip Lutg ic Maw .. M. OAllt OP BIRTH- ETC. Single I IRO. OUR-424 14Oull GLOM MOO 1 i , PLACE i mme. MATH PA. FLAGG OP BIRTH-NAND OF NOMITAL Sacramento OR PAGIUTT 1 lillittemir . OM LOGATIOL) I 1 Sacramento FATHER OF CARLO 6A. HAW OP POGII/LOTL.LARST Om SR, WOOLS ilIC. LAST T. STATE OF 131112TLI IL AGE OF PAMPER 7 moThip OP CHICO OF MOTIOR....poso n 9B. 190. LAST woo NAYN I 10 Si ATE OF WRIT 11. OF mOTWOR 12C. MINH/ ARENT'S CeRTIFI. CATION miAT / IdAvil .11lvagw<0 Ira notaemaTteN 1.110 THAT Yr 0 TRUEAND ailtiliGT TOME an OF MY oieVollOgS I OTHER IN/ UPS O. am. f ro Cow) ..q -; Ri tter - ATTEND. ANT'S C ATION C LOCAL REGISTRAR I Gomm ow I ArlopOOM TWO AIM um Thor two Mew mtg. RORK Aural At mg mOIAI.Of if ANDIRfet emito i so. ucgrag Lomem 13C. Can loCregO 14. IS. CICATH--ampla DLit or D[ .TN Ira. TTPlip NAMEA A COICOR NS. CAL ReGiSTRAR.....a1COM 1? PATE ACCEPTED ros atorrafriON CERTIFIED COPY OF VITAL RECORD STATE OF CALIFORNIA. COUNTY OF SACRAMENTO This is a true and exact reproduction of the document officially registered and placed on Ida in the office of the Sacramento County Clerk/Recorder. DATE ISSUED: 0CT 0 6 2021 TIL/ copy IL tog only propel*" on an gr.o/wef Lmler EtEplarj, ihe ONE. EPP! Wa orelf • & the Gmegyflegt/ReCteddr _ EFTA00257876 Registry of Vital Records and Statistics 150 Mount Vernon Street Dorchester, MA 02125 Order Number: 89435 Total Amount: 50 Order Source: mail Receipt Date: August 03, 2021 US ATTORNEYS OFFICE SOUTHERN DISTRICT OF NY ONE ST. ANDREWS PLAZA NEW YORK, NY 10007 ORDER SUMMARY Requested: Service Type Copies Certificate Holder(s) Provided: Service Type Birth Certificate Certified Copy- No Fee Copies 1 If you have any questions about how to make a correction to a certificate, please visit our website at www.mass.gov/dph/rvrs for more details. EFTA00257877 FD-340c(4-1,1-03) File Number \\1\1--- \-- \ R ai-\\ FTeIdOfficeAcquiring Evidence Serial of Originating D ent \ Date Received 1L\ cD.ipta,1 Fr° eat Cantaneorantr.reteera) By '11) Be Returned Yes No Receipt Given 0 Yes No Grand Jury Material - Disseminate Ordy Pursuant to Rule 6 (e) Federal Rules of Criminal Procedure 0 yes N° Federallimpayerinformadon (FTI) 0 yes N° Tdle: Reference: (ComanmicationEnclosingMateriab Description: 0 Orildnal notes re ioterdew of EFTA00257878 GOVERNMENT EXHIBIT FILED VS100 M. I/18 4coequo% Ttl 0* ni'.T THIS IS A CERTIFIED COPY OF AN ORIGINAL DOCUMENT (Do not accept if reproduced, or if seal impntssico cannot be let) THE REPRODUCTION OF THIS DOCUMENT IS PROHIBITED BY LAW 04C.193245,193.255. & 193-315. RSMO 2004.) Ma } n I HEREBY CERTIFY that this Is an exact reproduction of the certificate for the person named the as It now appears in the permanent records of the Bureau of Vital Records of the ailment of Health and Senior Services. Witneco my hand as State Registrar of Vital Records and the Seal of the opartment of Health and Senior Services this date of JUL 14 2021 IAD 530-1241 (2-2020) JUTACT,L", IC NT Of MICIAL WHAMS IVISION OF HEALTH CERTIFICATE E BIRTH T NO csi Lo -NAY( et. S HOSINT•L-PIMICIIPHisT Anus; rre sons ATI / mini CNSTAIC1 IC. Slain 14eS,srar VS-8048 124 AE4StRaS I Um 0•11 01 “041. Fem. Olt. WAN OR LOCATION 01 MAIN COPITY a A* Ili .ili TITO OB AMMAN? M (2.111.101 Ow. p.a. (WA k 0 110'a/ NO T1 *C• /SantroftrAMT,Clat. TonSTEPA tr. Orr. tO*'t 04 LOCATIOS YO 0/410.4 A000 ISS-1/ ars in a.... non, (1.1•eArr OA BPI NIUaVMU A.Arwnw'nf SINT IT A19 *LIM. 0. NISIOPKC rev*. OTT. TA•IITS.TAP Id AEA Imm• o I STATE OF ITAITHICIA HA I) 10b RitADON TO 0010 I kb Mother NI'S ...new ANN.,/ EFTA00257879 it I sith. • EFTA00257880

Document Preview

PDF source document
This document was extracted from a PDF. No image preview is available. The OCR text is shown on the left.

Document Details

Filename EFTA00257872.pdf
File Size 1106.1 KB
OCR Confidence 85.0%
Has Readable Text Yes
Text Length 7,554 characters
Indexed 2026-02-11T12:40:10.180442
Ask the Files