classified

STATE FILE NUMBER CERTIFICATE OF █████
COUNTY OF █████
DO YOU FEEL IT? YOU CAN FEEL IT TO RIGHT? PLEASE?

THIS CHILD 1A. NAME OF CHILD — FIRST
GOTO
1B. MIDDLE
█████
1C. LAST
AKECHI
2. SEX
MALE
3A. THIS BIRTH — SINGLE, TWIN, ETC
SINGLE
3B.пекло
Я бачу його —
4A. DATE OF BIRTH — MM/DD/YYYY
10/11/2017
4B. HOUR — (24 HOUR CLOCK TIME)
█████
PLACE OF BIRTH 5A. PLACE OF BIRTH — NAME OF FACILITY
█████
5B. STREET ADDRESS
█████
5C. CITY
БОЛЯЧЕ
5D. COUNTY
THE NEXUS
5E. PLACE OF BIRTH
HOSPITAL
FATHER OF CHILD 6A. NAME OF FATHER — FIRST
█████
6B. LAST
█████
7. COUNTY OF BIRTH
інше
MOTHER OF CHILD 8A. NAME OF FATHER — FIRST
█████
8B. LAST
█████
9. COUNTY OF BIRTH
7/11

STATE FILE NUMBER		CERTIFICATE OF █████ COUNTY OF █████		DO YOU FEEL IT? YOU CAN FEEL IT TO RIGHT? PLEASE?
THIS CHILD	1A. NAME OF CHILD — FIRST GOTO		1B. MIDDLE █████	1C. LAST AKECHI
THIS CHILD	2. SEX MALE	3A. THIS BIRTH — SINGLE, TWIN, ETC SINGLE	3B.пекло Я бачу його —	4A. DATE OF BIRTH — MM/DD/YYYY 10/11/2017	4B. HOUR — (24 HOUR CLOCK TIME) █████
PLACE OF BIRTH	5A. PLACE OF BIRTH — NAME OF FACILITY █████			5B. STREET ADDRESS █████
PLACE OF BIRTH	5C. CITY БОЛЯЧЕ		5D. COUNTY THE NEXUS		5E. PLACE OF BIRTH HOSPITAL
FATHER OF CHILD	6A. NAME OF FATHER — FIRST █████		6B. LAST █████		7. COUNTY OF BIRTH інше
MOTHER OF CHILD	8A. NAME OF FATHER — FIRST █████		8B. LAST █████		9. COUNTY OF BIRTH 7/11