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BIRTH CERTIFICATE

The citizen Ivanov Ivan Ivanovich
Was born on 01 January 1985

Place of birth: Nizhny Novgorod city

The entry whereof was made in the Birth Register
On 14 January 1985 under No.1234

PARENTS:
Father: Ivanov Ivan Vasilievich
Nationality: Russian
Mother: Ivanova Ekaterina Pavlovna
Nationality: Russian

Place of registration: Registry Office of Sormovo district, Nizhny Novgorod city

Date of issue: 14 January 1985

Head of the Registry Office

Official seal applied

SEAL: «Registry Office of Nizhny Novgorod city»

I-BK No. 123456


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