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IN THE SUPERIOR COURT OF THE STATE OF INDIANA

MARION COUNTY
ORLY TAITZ KARL SWIHART
)

BOB KERN FRANK WEYL

) ) ) ) )

EDWARD KESLER,
PLAINTIFFS

ELECTIONS COMMISSION,
SECRETARY OF STATE,

DEFENDANTS

PETITION FOR A LEAVE OF COURT FOR A RELATOR STATUS FOR PLAINTIFFS, STATE OF INDIANA EX
RELATOR V ELECTIONS COMMISSION, SECRETARY OF STATE OF INDIANA AND TO PROCEED A5 RELATORS

WITH A WRIT OF MANDAMUS/WRIT OF PROHIBITION/ QUO WARRANTO DECERTIFYING ELECTIONS

WIN IN 2012 PRESIDENTIAL PRIMARY ELECTION

BY CANDIDATE BARACK HUSSEIN OBAMA, II DUE TO

FLAGRANT VIOLATION OF INDIANA ELECTIONS CODE IC-3.5.7


REQUEST TO HEAR PETITION FOR A WRIT OF MANDAMUS TO BE HEARD DURING AUGUST 8, 201.2

HEARING OF TAITZ ET AL V ELECTIONS COMMISSION ET AL WITH THE SAME PLAINTIFFS AND DEFENDANTS

ARGUMENT
State of Indiana allows legal actions brought on Relator/Ex Relator basis STATE EX Rf,L. TEGARDEN v. CRIMINAL COART ETC.242 Ind" 116 (1961) 175 N.E.2d 26 STATE EX

REL. TEGARDEN v.CRIMINAL COI]RT OF MARION COUNTY, FAULCONER, JUDGE, State of Indiana, Ex. ReI. W.A. v. The Marion County Superior Court, Supreme Court # 49Soo-9803-OR-154.
The state of Indiana allows ordinary citizens to file Relator actions on behalf of the state. In case at hand a number ofcitizens forwarded to several state agency information, showing that candidate for the U.S. President in the Democratic party primary Election Barack Hussein
Taitz et al v Elections Commission Relator Petition for a Writ of Mandamus

Obarna,

II (Hereinafter "Obama") flagrantly violated lndiana Elections Code. First and for most

Indiana Elections Code 3-5-7-4 requires one to place on the ballot a name that is identical to his
name in his birth certificate.

IC 3-5-7 Chapter 7, Candidate Designations on the Ballot IC 3-5-7-1 Applicability of chapter


Sec. 1. This chapter does not apply to the following:

A candidate for precinct committeeman. (2) A candidate for delegate to a political party convention. As added by P.1..202-1999, SE(:.1.
(I)

tc

3-5-7-2

"Designation" defined
Sec. 2. As used in this chapter, "designation" refers to a name, a nickname, an initial, an abbreviation, or a number used to identify an individual. As added by P.l-.202-1999, SE(:.1.

IC 3-5-7-3 "Name" defined


Sec. 3. As used in this chapter, "name" refers to any ( 1) An individual's given name.

ofthe following:

(2) An individual's sumame. (3) An individual's middle name, A.s added by P.L.202-1999, SEC.1.

rc

3-5-7-4 Candidate's legal name Sec- 4. (a) For purposes ofplacement ofa candidate's name on the ballot, a candidate's legal name is determined under this section. (b) Except as provided in subsection (c), a candidate's legal name is considered to be the name shown on the candidate's birth certificate. (c) If a candidate: (1) uses a name after marriage as described in subsection (d); or (2) takes a name through ajudicial proceeding that is different from the name shown on the candidate's birth certifi cate; the most recent name used after marriage or taken in thejudicial proceeding is considered to be the candidate's legal name. (d) A narne a candidate uses alier marriage is considered the candidate's legal name ifthe name satisfies any ofthe following: (1) The name is the name appearing on the candidate's birth certificate. (2) The name is the name used by the candidate as an applicant for the rnarriage license. (3) The name is any combination ofthe names the candidate and the candidate's spouse used as
Taitz et al v Elections commission Relator Petition for a Writ of Mandamus

applicants for their marriage ltcense. As added by P.L.202-1999, SEC.1.

Mr. Obama has posted a copy of his alleged birth certificate on whiteHouse.gov, which shows
his legal name to be Barack Hussein Obama, II. On the ballot he posted his name differently, as Barack Obama. For that reason alone his narne was supposed to be removed from the ballot as it

is in clear violation of the Elections Code 3-5-7-4. Additionally, Plaintiffs submitted swom
affidavits of Sheriff Joseph Arpaio, as well as multiple other competent witnesses, who attested to the fact that Obama's birth certificate, Selective service Registration and
Socia-1

security card

represent forgeries. Secretary of State and Elections Commission ignored evidence provided to

them.(Exhibits 1-8). Plaintiffs forwarded above information to the Secretary of State and the
elections Commission. Both the Secretary

of

State and the Elections commission ignored the

evidence provided to them and flagrantly violated the elections code by allowing Obama on the

ballot. When Plaintiffs forwarded the same information to the Attorney General of the State, Attomey General did not act and did not file a Writ of Mandamus to remove Obama from the
ba1lot. Moreover Deputy attorney General Jefferson Garn attempted to intimidate and harass the

plaintiffs with baseless demands for sanctions against the plaintiffs, who are citizen
whistleblowers and who stepped in, when govemmental officials did not perform their

job lt

is

noteworthy that the same deputy attomey General of Indiana, Jefferson Garn, filed criminal charges against former Secretary

of

State charlie white

for failing to update his

voter

is time registration card. Mr. White was removed from office and criminally prosecuted. Now it

judiciary are upholding the to show that the state of lndiana and its' governmental officials and
and law against officials of both parties, that the state of Indiana is not biased in favor of Obama

showing obama against the citizens-whistleblowers, who are bringing forward legal chailenges,
Taitz et al v Elections Commission Relator Petition for a Writ of Mandamus

violating Indiana elections


is troubling, as it shows al (U.S. District Court for

Moreover, evidence of a related case, brought by Judicial watch inegularities in elections process Judicial Watch. et. al v. Kine. et.

District of Indiana 1:12-cv-00800). As such it is justilied to grant


and grant their motion to decertiry

the plaintiffs the Relator


the 2012 primary election. the Attorney General

all votes for Barack Obama rn

, Secretary of State, Elections Cornmission and the office

of

them should be ordered to examine and investigate evidence,

showing forgery

in Mr.

birth certificate, Selective service Registration and Social


1-8)

security number. (Affi davits

Wherefore

Plaintiffs should be granted


Barack Obama should be

status, Petition for

Writ of Mandamus to decertifr votes for

Dr. Orly Taitz ESQ, Pro se

in the state of Indiana

Dated

CZ

t3 JolZ

Taitz et

alv

Commission Relator Petition for a Writ of Mandamus

PROPOSED ORDER

Taitz et al v Elections Commission Relator Petition for a Writ of

Mandamus

IN THE SUPERIOR COURT OF THE STATE

OF INDIANA

MARION COUNTY
ORLY TAITZ KARL SWIHART

)
)

BOB KERN
FRANK WEYL

) ) ) ) )

EDWARD KESLER,
PLAINTIFFS

ELECTIONS COMMISSION,
SECRETARY OF STATE,

) )

DEFENDANTS

The state of tndiana allows ordinary citizens to file Relator actions on behalf of the

state.

fn

case at hand a number

of citizens forwarded to

several state agency

information, showing that candidate for the U.S. President in the Democratic party

primary Election Barack Hussein Obama flagrantly violated Indiana Elections


Code. First and for most Indiana Elections Code 3-5-7-4 requires one to place on the ballot a name that is identical to his name in his birth certificate. Mr. Obama
has posted a copy of his alleged birth certificate on WhiteHouse.gov, which shows

his legal name to be Barack Hussein Obama, IL On the ballot he posted his name

differently, as Barack Obama. For that reason alone his name was supposed to be
removed from the ballot as

it is in clear violation of the Elections

Code 3-5-7-4.
6

Taitz et al v Elections Commission Relator Petition for a Writ of

Mandamus

Additionalty, Plaintiffs submitted swom affidavits of Sheriff Joseph Arpaio,

as

well

as

multiple other competent witnesses, who attested to the fact that Obama's

birth certificate, Selective service Registration and Social security card represent
forgeries. Secretary of State and Elections Commission ignored evidence provided

to them. When Plaintiffs forwarded the same information to the Attorney Genefal of the State, Attorney General did not act and did not file a writ of Mandamus to
remove obama from the ballot. Moreover Deputy attomey General Jefferson Gam

attempted

to

intimidate and harass the plaintiffs with baseless demands for

sanctions against the plaintiffs, who are citizen whistleblowers and who stepped in,

when govemmental officials did not do their job.

It is noteworthy that the same

deputy attomey General of Indiana Jefferson Gam filed criminal charges against former secretary of state Charlie White for failing to update his voter registration
card.

Mr. White was removed from office and criminally prosecuted. Now it

is

time to show that the state of Indiana and its' governmental officials and judiciary
are upholding the law against officials of both parties, that the state

of Indiana is
are

not biased in favor of Obama and against the citizens-whistleblowers, who

bringing forward legal challenges, showing obama violating Indiana elections


code. Moreover, evidence of a related case, brought by Judicial Watch is troubling,
as

it shows great irregularities in elections process. As

such

it

is

justified to grant

for the plaintiffs the Relator status and grant their motion to decertified all votes
Taitz et al v Elections Commisslon Relator Petition for a Writ of Mandamus

Barack Obama

in the 2012 primary election.

Moreover, Secretary

of

State,

Elections Commission apd the office of the Attomey General representing them
are ordered to examine qnd investigate evidence, showing forgery in

Mr. Obama's

birth certificate, Selectivg service Registration and Social security number'

Wherefore

Plaintiffs are granted Rglator status, Petition for Writ of Mandamus to decertify
votes for Barack Obama is granted.

Signed

Honorable S.K. Reid, Sqperior Court Judge Dated

Mandamus Taitz et alv Electioni Commission Relatot Petition for a Writ of

Exhibit

State of Arizona

County ol Vlaricopa

,{FFIDA\'IT

I, the undersigned.
Penaltir of Perj ury that th

s*'our. do

hereLrr, state

under oarlr and under

l,

I an over the age f l8 and ant a resident of Arizona. The infornration contained in this alfldalit is based upon mv o\\n personal knori ledge and. if called as a lvitness. could ilv conrpetentll tlrereto. I aur the duly elected SheritT of
Maricopa Count)'. in Lroth state and i
rizona. and I have been a larv enforcenrent officel and official. I govemnrent. lor -i I ),ears.

2.

In August of )ast L'ar. a group ol cr tizens from the Surprise Arizona Tea Party orgiurization met vith nre in m_v otllce and presented a petitiorr signed by approxirnately'250 residents of \,lancopa Counrl'. asking if I *ould investigate the ing President Barrack Obanra's birth certificate aurhenticity colltlovcrs)' sul.ro and his eligibiiitl' ser'\ e fli the Presidcut ot'the Uriited Statcs.
gloLrp e: agency in thc co

3. This

looked into this o


jurisdicti<.rnal chall

its concenr that. up untii that point. no larr' cnforcement tr1'had erer gorle on record ildicating that they had either that tlrel l'ere s'illing to do so. citing lack of resources and

4.

The Maricopa C ty Sherifl-s Olllce is in a rather unrque position. Uudcr rhe Arizona Constituti n and .,\rizona Revised Statutes. as the elected Sheriff of N{aricopa C'oturt1. ha'ie the authorily to request the aid ol the t,olunteer possc. located in the co ty. to assjst ure in the execution of my duties. Har ing posse of approxinratel1. 3.000 ntenrbeLs. I, as the SherilT ol organized a volutlt lhe lVlaricopa Coun Sherilf s Olfice. can aulhorize an investigation go fonvard to lnsri el t Itcse qur:s ns at r.irtualh' ilo expense !o the tax paver.

agreed to underlake the investigatiou requested by the 250 -5. The Cold Case po citizens ol \'lari :r Countl'. This posse consists of lorrrer police officers and riorked iuvestigating the conlrovers) surrc'rtrnding Barack attorncys u,ho ha gatron nrainl) ibcu'ed on the electronic clocument that was Obanra. The inr

rl

presented as Ples ent Obanre's long tbnrr [rirth cerrr ficate to the Anrerican people and to citizens t-r f aricopa Countr bl the \\.hite llouse on April 27.2011. 6. The

estisation led to closer erautinarion of the procedures regat.ding the registration of iri s at the Ha\l aii Departnrent ol Health aud various statentents made b;, l{an aii vemrl1etlt of lLcials legardins the Obanta bitlh contr.oversv over the last ill,e r. ears.
irr r

i.

Upon close exanri ation of the er iclence. it is nrl belief that forsery, and ll.aud q,as likely conrurittetl n kef identitl docun')enrs including Prc-sitlent Obarra's lonclornr birth certill te. his Selcctitc- Sr.rlice Re-sistration card, and iris Social Security'nunrber.
vestigators d I bc'lieve that Presiclenl Obatna's L:ng-fcrrnr birth certificatc ls a courputer-g ted clocunrent. uas nranutacturc'd elc-ch^onicallv. and tlrat it did not originate in a paper lonlat. as clainred br. the \\'hite }..louse. lVlosr inrpoltanlll. the " istrar's starup" in the conrputr.r' ueneratcd document released b_v the \\'hite Ho se and postetl on the \\'hile liouse rtebslte. nray have been imported 1l or.n au lher unknou.n sourcL. docunteltt. The eilect ol the stantp not beirrg plac'ed on docurrrt'rrl pursuarll to sralc Jnd tederal lau s llcans that there is probable cause hat the docunrenr is a fbr_cer1.. and tlrerefirre. it cannot be used as a r,eritlcation. I gal or otherrr ise. of the date. place or circunrstances of Barack Obama's hirthiVly
in

9.

Cold Carc' P ccrtiflcate and lris thc invcstigatiun i hcid the press con proper)r'r'eritled public.

'J'he

Iau enlbrcentent inlesrigatioll into lfarack Obanra's birth ligibilit)' to be president is on-eorng. The on-going nature of due to additional intorntatloll that has corrc to light since ive blence in fuIarch. lltIl, -\s soon as rhat intbrntation has been .v the Colti Case Posse. I rr ill reieasc that inlor.nratiolt to the
rinc.

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Exhibit 3

0811112010 Paqe. 1of 4

lD.7436277 DktEntry:

17-5

29839 Santa \Iar Ra n cho Santa,\I Tel: (919t 683-5{ E-Maii: Cr' :el:z@

Dr. Orlr Taitz. E q arita Parkrva)-, STE 100 rgarita CA 92688 I r Far (919) 766-7603
ahoo.com

FOR THE DISTRICT OF

LNITED STIES DISTRICT COURT COLUMBIA

Dr. orly Tairz, Esquif,

,ro

,",
Civil Action:

PIaiildff

Barrack Husseln Obaina,

Defefdant

AffidaYit ofJohE N. Sampsotr


My name is Jphn N. SaDpson. I am over 18 yea$ ofage, am ofsound mind and frce any mental disease oJpsychological impairmcnt ofan, kind or condition.

I.

of

2. J

l am a citizenlofthe United Sates ofAmerica, I am 58 yean old, and was born Jackson Heights, Qu$ens, Ncw York and raised in the State of Nelv Yo*.

in

I am tbe Chief Executive O{frcer, Owner, and Operator, ofCSI Consulting and Investigations LLC, + consulting and private investigative firm registered with the Secretsry of Srate of Colorado as h Limited Liability Company pursuant to the laws ofthe State ofcolorado. The company was fofmed in the State ofcolorado on January 2, 2009 and is in good standing with the Secretary oflState ofColorado. Colorado does not have any licensing requirernents or provisions for privatl investigators.

4.
and

I have personfl knowledge ofall ofthe facts will testi& ir o*n court to all ofthe same.

and circulstances described herein below

On, or abou! November 16, 2009, Orly Taitz, the attomey who is prosecutirg the above captioned matter, re{uested that I access LocatePlus, a commercial database that I sub,scribe to,

5,

C,ase

19-\6827

0811

1r2C10 Page.2 cirL

D.;+3{r27r

Dl,tEntry T75

which is located in thd State ofMassachusetts, and with whom I havg a user agreement, and requested that I obtairi an\ and ail legall] a\ailable informatioB relating ro U.S. Social Securjtv
nurnber
C-.1l -5

8--1-1]-i

6. 7.

On. or about- \orember 16, 2009. pursuanr io ihe aforemenrioned request b). Orly Taitz, I requesled &om LocmePius. any aad all lesalh obrainable infbrmalion .elaling to SSN 4125

lI3-

As a result of lhis inquiry, I came to leam rhat Plaintiff Barrack Husser'n Obama, has used this Social Security number since at least from June l, 1986 to present. A detailed report was gnerated shou,ing fallliL\ reiationships- past residence history, real property owned by Mr. Obarna, and other detailed inlormation to include. but no1 limited to, driver's license infon ation. telephone numbers associated &ith Mr. Obama, and people possibly related to MJ Obafla. This infonnation rvas obtained pursuant to a legitimate and permjssible search ulder the user agreelnent I have u,ith LocatePlus. This request was made in connection with a pending civil action, which is one ofthe expressed permissible purposes to conduct such an inquiry through LocatePlus, aE well as a possible criminal violation ofUnited States la1v, and possible

8.

fiaud
As a rcsult of this search and the results thal n'ere obtaine4 on or about Novcmber 17, 2009, i accessed a public access database named "SSN Vaiidator" at http://wu.w.ssnvalidator.cony. The information this site provided me was that SSN.a--4425 was issued by the Social Security Administration based upon an application fiied for a Social Scurity Number in the State of Connecticut belween the yeam 1976 a|J,d 1977 .
Based upon informatio, aEd belief: PlaintiffBanack Hussein Obama has never had a direct connection with the State ofConnecticut and has never claimed residencv in the State of Connecticut.

9.

10. L

I I am a receltly retired Ssnior Deportation Officer ofthe United States Depanment Homeland Security, Immigration and Cusloms Enforcement (DHS ICE) having retired on August 30, 2008.

of

As a result ofmy formal lraining as an immigration oflicer, conducted at the Federal L,aw Enforcement Training Center (FLEIC), Iocated in Brunswick, Georgia, and advanced training received at FLETC in Artesia, New Mexico and elsewhere during my 27 year career, as \yell as ny prol'essional experience spanning 27 years offederal law enforcement, it is my knowledge and belief that Social Security Nurnbers can only be applied for in the State in ilhich rhs appfcant habitua]ly resrdes and has their official residence.

12.

t3. Du ng the period between January 1 , 1976 and December 31, 1977 inclusive, itismy krowledge and beliefthat Barack Hussein Obama habitually .esided solely within the State of Hawaii and uas between the ages of 14 and l6 during the time period stated above. During that period of time, based upon infonnation and belief, Mr. Obama resided with his maternal grandparents, Madelyn and Stanley Dunham in the State ofHawaii.

illl-5iiil27 ,8i't'.17.i)1A

Pa'ic: 3 oi 4

-i136271 DkiEi]lrv

17-5

On or about Felbnran 1. 1010- I received an email liom a person identill ing himself as ".lrm Rus:0". Operalions \lanagcr for LocatePius- l0Ll Curnmings Cenrer. Suiie 23i\,1, Be\erl\\1.1.. 0 I 9I j. rtquesling rhal I conta.i lum regarding m\ account. On or aboui Februarl l-2010. I telephoned \1r. Russo al 978-921-2727, extension 319 and inquired as to \\hv he !\ished to discuss m\ account. At that time, Mr. Russo stated that LocatePlus had noticed I had conducted 11hat he called a "celebriq, political figure" inquiry and wanted to know \rh] I had done so and which pnnissible reason pursuant to the user agreement I rvas under rith LocalePIus peftained to my making my inquiry.
I told Mr. Russo that I $as a p vate investigator in the State ofcolorado, that I had been tasked by Dr. Orly Taitz- an attome)r in California rvho nas prosgculing a civil suit involving Mr. Obama and that I had eftarls and other documentation that I could send him irifying that fact. Mr. Russo slated that he \\ould appreciate it ial would send that inlbrmation to him which I did on or about Februa4, .1. 201 0. He assured me at that time that il I rvere to provide this intormation 10 him it wou]d resolve any "issues" LocatePlus may have rcgarding my inquiry into a "political celebdty".

1,+ 15.

16.

17. In the eEail I seDt to IvIr. Russo, I offered to have Dr. Taitz send him an email as well confinnrng the fact that I had been tasked by her to conduct this inquiry pursuant 10 a pending cir il suit in the United States District Coul for the Central District ofCalifornia. He stated that he *ould like to receive such an email.
I On or about February 4, 201 0. Dr. Orly Taitz, a1 my rquest, sent Mr. Russo an email indicating that she had requested me, in coruection with the ponding civil suit in California against Mr. Obama, to conduct research through the commercial databases I habitually use as a p.ivate investigator, related to SSN

8.

C-4425.

19- Numerous emails have been exchanged betrteen me and Mr. Russo due to the fact that as ofFebruary 2, 2010, my account with I-ocatePlus has been frozen and I can no longer acoess this database despite the faat that I responded to their inquines and have pro!'ided evidence to them
indicating that I had follorved the user agreement we have cntered into. I have repeatedly asked that my account be unlocked, unfrozen, and made available to me. Dcspite all oftlis, as ofMarch 8, 2010, my account remains iiozen and I am unable to conduct legitimatc, legal database searches in connection with my busiIless- As a resull, I am being financially harmed, unable to conducl legal, IaMul, legrtimate investigations pu$uant to law, and unable to provide to my clients, the services they have contracted with me to provide. thereby subiecling me to possible civil litigatiol for failing to provide contracted services.

20.

21. Based upon infonnation and belief, misuse ofa Social Security number is a direct violation ofTitle 42 United States Code, Section 408(a)(7)(B), which is a federal felony punishable under Title l8 United States Code by fioe or imprisonment ofup to five yearc, or
both.

ABl11l2O1O Page: 4 of

lD.7436277 DktEntry:

17-5

2223-

I swear under above are true and I hale not

penalfies ofpedury that all the facts stated and ci.cumstances described to .he best ofml knou,ledge and belief. compensated for making this affida\,j1.

Funher, Affiant sa. Signed and executed

Awora, Colorado on this 8 day ofMarch,2010.

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Exhibit 4

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Affidavit
I, Douglas B. Vogt, am over !8 years old, do not suffer from any mental impairment, have personal knowledge in the following aod attest under penalty ofperjury that I have knowledge and expertise in documents, imaging, scanners and document imaging prcgrams. Based on my knowledge and expertise the following is true and conect
My

Gedertlolt

I have a unique backgrou4d for analyzing this document. I owned a typesetting company for I I years so I know type and fonn desigrr very well. I cunently own Archive lndex Systems since 1993, which sells all types of document scanners worldwide and also developed document imaging software (TheRepository). I \now how the scanners work. I have also sold other document imaging progams, such as Laser Ficlire, Liberty and Alchemy. I have sold and installed document imaging systems in city and county govemments, so I know their procedures with imaging systems and everything about the design of such programs. This will be important in understanding what has
happened with Obama's Certificate of Live Birth.

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Figure 1. Tiff image of the Obama s Certificate of Live Birth dated August 8, 1961 , prese+ed on fV 412712011.

Figure 2. Another Persons microlilmd Certificate of Live Bidh dated August 11, 1961.

dod Oboindt Certlficote of Lhre Birth otd wiw it b o FoErr,. obama administration released is a PDF image that they are trying to pass off as a what the Certificate Live Birth Long Form printed on green security paper by the County Health Department. The form is a ueated forgery for the following reasons.
Whot I Dlovc!d

t' c1rv9! and non-curved type. The image we are looking at was scanned in grayscale and some part in binary which cannot be on the same image. The reason I know thi;is because of the shadowing along the gutter (left-hand side). lt also means that the county employees who did the original scanning of all the forms, did not take the individual pages oui of the iost binders. The result is that all the pages in that book disptay a parallax disto(ed image ofthe Iinis and type. They curve and drop down to the left. lfyou look at line 2 (Figure 3) on the form that says,!ei you will notice the letters drop down one pixel but the typed word Male does not. Also notice the iine lust
below Male drops down 3 pixels.

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Figure 3. Line 2 ofthe form. Baseline differences.

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The second incident of this parallax problem is seen in line 6c Name of Hospital or Institution (Figure 4). The word Name drops down 2 pixels, but the typed hospital name, Kapiolani, does not drop down at all. And again the linejust below drops down 2 pixels, but not the name Kapiolani.

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Figure 4. Line 6c at 500%. The typewriter name ofthe hospital does not drop down 2 pixels.

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CNCC O:

The conclusion you must come to is that the typed in form was superimposed over an existing original Certificate of Live Birth form from the county. In fact, since I found some of the form headings scanned in as binary and grayscale, the form itself is a composite but the person who created it did not flattened the image of the blank form and save it as one file before they started placing the typewriter text on the composite form. The individual(s) who perpetrated this forgery could not evidently find a blank form in the clerks imaging database, so they were forced to clean up existing forms and overlay the typewriter type we see here. The forger was also looking for certificates with the correct stamped dates and that is why I think they used more than one original form. At first I wondered why the forger didn'tjust typeset the entire form fiom scratch and overlay the type and not have to worry about the parallax problem. Then I remembered that in the early

in hot metal from a linotype machine. The type design is Times Roman but they could never replicate tlte exact design. They were stuck having to use existing forms that were scanned in using binary and grayscale.
2. There is a white haloing eround all the type on the form. Figure 5 is an example ofthis. This effect should not appear on a scanned grayscale image. Figurc 6 is a grayscale image scanned in at 240 dpi. You will notice that there is no haloing effect around the type and also the security pattem is seen through the type. Figure 7 is a color image where you can clearly see the security green color through the type and no haloing. Figure 8 shows a Black and White (binary) image of the s.rme type. The important thing to remember is that you cannot have grayscale and binary on the same scan unless the image is a composite. That means that different components of the whole image are made up of smaller parts. Figure 9 is an enlarged version of Figure 6 showing what grayscale letters should look like compared to binary.

1960s there was no phototypesetting and this form was set

llrnrc

(Typc or prlnr)

BAI,,ACI(

SECURITY PACI SECUBII'Y F'ACI rrt


Vcntura & Sepulve 15165 Ventura Bo Sherman Oaks. Ci
Figure 6. Grayscale.

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Venti.i'a & ScPu[,e 151ti5 Ve tii|a Llor Shcrnran Oaks. C:

Figure 5. Obama's form

Figure 7. Color image.

SECURITY PACI!
Ventura & Sepulvet 15165 VonE ta Bou Sherman Oahs. Ca
Figure 8. Binary

image.

Figure 9. An enlarged version ofFigure 6 showing grayscale type.

3. The Obama Certificate is loaded with both binary and grayscale letters which isjust another smoking gun that this form is a forgery. It appears the lines and some of the boxes were scanned using grayscale, but only some ofthe form headings were grayscale and sometimes it is only some letters. Figure 10 and Figure 4 give one example. You will notice that the 11and, a{ in Hospital,.Iin Institution, (If and again the ft and / in hospital were grayscale images, but the rest of the line is binary. The typewriter line below was scanned in as a binary image. I can also tell you for certainty that the form type was scanned in at a lower resolution (<200 dpi). This is because ofthe size ofthe pixels on the letters were such that the openings on the 4 and s on the first line are not visible and filled in.

rlenl t{rlterntty &

Horpltrl or Inilhutlon nrlhutlon

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not

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Figure 10. showing a mixture ofgrayscale and binary type on the same line.

grayscale image and the rest is binary (Figure I and the rest was not until it was added.

Another example is found in form box la, his name BARACK. For some reason the "R" is a l). That means the "R" was originally on the form

BAsACH
Figure I l. Another example ofgrayscale and binary on the same line.

Another example is the Ce(ificate number itself (Figure l2). The last "1" on the form is a
grayscale image but the rest of the numbers are not. This is just another example of a cut and past job. It also means we do not know what the real Certificate number is ifthere even is one. There are 13, 16, I 8a. other form boxes that display the same feature, boxes: 5b,7e,

ll,

ARTMENT OF HEALT
Figure 12. The last "1" is graylcale, but the rest are binary.

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4. The Sequential Number is a fraud. I would like you to refer back to Figures I and 2' You will notice that Barack Obama was supposed to have been born on Friday at 7:24 p.m. August 4, 1961 and the local registr.r accepted it on Tuesday August 8, 1961 and hand stamped the Certificate number "61 10641." Then notice that the other Certificate of Susan E. Nordyke was bom on Saturday at 2:12 p.m. August 5, 1961 and another registrar date stamped it on August 11, but her Certificate number is "6l l0637." Keep in mind there would be only one bates stamp machine in the office so the numbers would all be unique. There cannot be any duplicates so every Certificate has a unique serial number. Obama's Certificate would have most likely been mailed on the lollowing Monday, the 7$ and received by the Clerk Tuesday the 8u. Susan Nordyke's Certificate looks like it but she has a Certificate 4 was m;iled sometime earlier that week and not accepted until the numbers less than Obama's. It is impossible to have Obama's Certificate number to be four numbers higher than a Certificate that came in 3 days later' The facts I have shown you in #3 and 4 tell me several things about how this forgery was assembled. l. Some person(s) in the Health Department, who had access to the document imaging Drosram. search the database for someone close to the actual birth date of Obama and found .o#on" near the 4fi of August. They may have crossed referenced the death database to find someone who had died and had a birth date close to Obama's. If you remember, the Federal Govemment wanted the States to cross reference the birth and death databases so the database would have that information. 2. The date stamps have two different colors and sizes (see #5 below) which indicates that both dates came from different Certificates. 3. More than one person is involved in the Hawaii Department of Health to assmble the different components that were used, do the database find the right Certificates to create President Obama's fraudulent Certificate of Live searches Birth and finally sign the fraudulent certificate. believe that after all the components were

assembled they were then given to a graphic artist to actually assemble the whole thing and create the finished forgery. In short this was a conspiracy to defraud the United States.

5. Two different colors and font sizes in Form box 22 and 20 Date Accepted by Reg. General What is very revealing about this box and date entry is there are two different colors on both lines. Both lines were scanned using binary mode, but I see two different colors (Figure l3). what I think this is showing us is that the person who put this fraud together was looking for a form that had the right date namely "August 8 l9_1." As you can see the only things that are printed in dark green (R:71, c:92, B=73) are "Date A" and "AUG -8 6." The rest of the rype is in black. This tells me that the forger was working in color mode. Finally the Font size of the rubber stamp in box 22 is larger than the stamp used in box 20. This is unlikely because the same rubber stamp would have been used by the same registrar to stamp the dates in both places and sign the form in box 21. Since we have two size letters and numbers, that means tlese elements were taken fiom two separate forms that may have been years apart using different rubber stamps,

22.

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Figure 13. Two different colors, dark green and black.


The same thing is found in form box 20 "Date Accepted by Local Reg." Figure 14 again shows that the date has two different colors. The "AUG -8 196" is in dark green (R:87, G=l11, B=87) and the "1" is in black. Yet again another irrefutable proofthis form is a forgery. Form box l7a displays the same two color image in the word "None". The'Non" is in dark green.

I0. Ilrtc lcceptcd b; I.ocrl Rcg,

Figure 14. Another example of two colors on the same line.

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6. Multiple layers in the PDF file from the White House. I am not the first one to find this fact and they deserve the credit for discovering it. What they discovered is that when you open up the PDF file in Adobe Illustrator and you tum on layers, you see a long list ofnine different layers that correspond to different sections ofthe form, including the signatures on the form. I discovered using just my Adobe Acrobat 8 Standard that I could also see the different components disappear when I enlarged the image to just 400% and used the "hand" tool to quickly move around the image. When I moved the image fast, the various type components would disappear from the form but the lines stayed just as I had concluded.
A Rebuttol to the Drcorrery of the Multi Loyeri Found in the FDF File. The only rebuttal to the nine layers discovered in the PDF file released by the White House was a

statement from a Canadian graphic artists from Quebec by the name of Jean-Claude Tremblay on April 29. It was reported by Fox News an on their web site at: llttl): 'r\ \\ \\.l!,\ne q1,,..1,111,p1fficsr101 I '0-lil9"c\pcrl-sa\ \-obarr{l:U!I!Lr-ccr!jllcate-lc!riLi.
5

ocR (optical character Recognition) engine and then saved as a PDF. -lhere are two major reason he is wrong and I know from his statement [e klows nothing about OCR engines and how they work and their file structure. First of all the Obama PDF certificate was supposed to have come directly from the Health Departments office. As stated beiore, the records they have would have absolutely no reason to bc OCRed and if they u,ere asked to give the customer a PDF image it would be from their existing TIFF image stored in their document imaging program on the server. The program would have done no OCR processing at that trme. My qualifications on OCR programs are considerable. Our own document imaging program. TheRepository, has an OCR option from Expervision that is called TypeReader. We integrared TypeReader into our program but to do this we had to sign a non-disclosure statement with them and then we got their Took Kit and API. When an OCR program saves a file as a searchable l,i)F, the file contains three main files within it. The first fiLe is an image file, usually a compressed Group4 TIFF. The second file is a ASCII text file and the last file is a matrix file that contains the X and Y coordinates ofall the words in the document. The Starting point for the image file and the matrix llle is usualJy the upper righcleft hand comer of the image measured in pixels. 'Ihe test file and matrix files would never be seen as separate layers and there is cenainly no nine rayers. '1 he three fl!..s would be in a PDI: 'wrapper" and that's all. All OCR programs work <.1.i ihe same principle.
Con(lurion

He tries to excuse the multi-layers as merely an artifact of an

The Cenificate of Live Birth Obama presented on television on

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is a forgery.

In witness whereofhe has hereto set his hand and seal.

NameofNotary:@t
rirre:

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, a Notary Public of King County and the State ol Washington aforesaid, hereby certify that Douglas B. Vogt personally known to me to be the afflant in the foregoing af{idavit, personally appeared before me this day and having been by me duly swom deposes and say that the facts set fofth in the above affidavit are true and correct.
Witness my hand and official seal this the
IOth

My Commission Expires:

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B. Vogt

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Exhibit 5

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attach ment B

Exhibit 5

AFFIDAVIT
ln tho Stata ol Konlucky, Counly ol

this afiant bing duly sjvorn, deposas ard says lhat he is Timolhy Lee Adams,
Bowling Green, t(Y 42101 and lhat tha stalements below ara irue conceming his Elections Division in Honolulu, Havraii:

residing at ! 132 Fairview Avenue, Apt. employment at the City and County ol

1.

was omployed at the Cily

County ol Honolulu Elections Division from ,ay 2008 through September 2008.

My position al'the City and


tvty

ol Honolulu Eledions Division was Senior Elections Glerk.


lhe actividss of lhe Absentee Ballot Otlice.
I

responsibilities were to

4.

During the course ol my of Honolulu Elsctions Division,

bcamg aware lhal many rsqueats ws bsing made to lha City and County

Hawaii Offica of Eleclions, and lhe Hawaii Dspartmsnt ol Hsalth lrom around the

coufiry to obtaln a copy oI


Ssnior olficers in lhB Gity and long-form, hospitial-generated lher6 was no rsord that any branch or department oI the Senior otlicers in the City and State government ollicials Cenler and KaFi'olani Modical been born thsre, even lhough to assert Barack Obama, Jr. 7. During ths @urse of my govemment ol Hawaii, includlng Dr. Chlyome

Bar#k Obama's long{orm, hospltal-oenerated birth cedillcateoI Honolulu Elclions Division toH ma on multiplo occasions that no Hawaii
certiticate exiEted tor Senator Obama in the Hau/aii Departmer( o, Hsalth and document had ver been on lila in the Havraii Dapanment ot Halth or any othsr govemment. of Honolulu Eleetions DMsion tunher told me on multiple occasions that Hawaii made inquiries aboui Senalor Obama s birth records to otlicials at Queens Medicel in Honolulu aM thal nsither hospita! had any record of Sanator Obama having Abercrombio has assrtd and various Hawaii govemmsnl officials continue bom at Kapi'olani Medical Center on August 4, 1961
.

I came to undersland that lor political reasons, vafious otlicials in the

lhenovernor Linda Urlgle and valious ot kials ol the Hawaii Department ot Health' director oi the Halvaii tleparlr ent ol Heaffi, werc maklng representations that
even though no Oo\remmenl orficial in Hawaii could find a longjorm birltl had besn issued by a Hawaii hospital at thB time ol his birth.
I

senator Obama was born in


certificato for Seflator Obama During the course ot mY Division lo stop inquiring amonq my lellow employees

was

dd

by senior otficers in the City and County ot Honolulu Elections

Senaior Obama s Hawaii birth records, Bven though it was common knowiedge no Hawaii long-form, hospital gener6fied bir$ cerlilicale exlsted for Senator Obama.

ln witness whersol he has h6relo sBt

hand and seal.

Affiant's signature:

Afliant's title:

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a Notary Public of lh Counly and Stato atorssaid, harsby csrtily that known to rne to be the atfiarlt in fie loregoing atlidavit, peBonally appared swom deposes and says the lac.ts sst torlh ifi ths abovo afftdavit ara kus and c{rlect'

beroro me this day and having ben

Wihess my hand ard officialseal lhis


Notary Publi's signalute:
My commission xpires:

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Exhibit 7

AFFIDAVIT
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col INTY or
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lE yeani old and reridcot ot ?579 Wsldc Road, Jaclsonvill., l:L 12244 lrilh FlI do nor sullc. from any mcntal irnpiirmcnt and I aompetently arcsl to thc

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wb devcloper having Sradoated eith a bachclor'! dcSre in lT liorn I l-I in lndianapolis, tN. lhsveoverlcn ycats olctpericncc of in wch dcsigns and I havc oftcn lsri iofi*ar.'such or Adoha PholoshoF nod Adob llhrsltstor
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thr whilehous r{cb6ilc. !Lw!!.$i&hol:r.8.qL reieased lhc 2009 ljorm | 040


0-complct&raturn

Relurn of Pr6idcnr ltarack H. Obzms:

pdl

this 65-p&Be

pdffilc on my computer. lohrervd thal all information aboul lhc

p.ctidcrlt'

s social iccir,it numbcrs trcrc rcdactcd- AII btrocl$ or rPaces for nurnbcrs were blank, or "eIile-oul.

rhc fir$ lady

I submit Rcrum of I submir lop

A (atEched hcrcwilh. pagc 4l p.n of2009 form 1040) Form 709 U.S Cifi 13r Ilarack obame. Thc spec fot his soci.l sccurity oumber is.edacaed o, blank.
B (attachcd hrrc*ith, pag. 49 p.tr of 2oo9 lorm lMo) Form 709 U S. Cift Firsl t-.dy Michcll! Obama Thc spacc for hcr social securilv numbcr is ,edaclcd or

Tar Rcrunl,
blunk.
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llluslIslor soh\r&rc. I oFned Uxhibil A and B and found tlal 6cs.lwo pdf Tltn throqBh hycrs crch, not just ooe layer. whcn thc lop layer ir tumd offot dregSd suray' filcs havc [umhcrs ofhob pcrsons are revcoled. rhc sdial

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Exhibit 8

Dr. Orly Taitz, Attorney-At-l,aw (California SBN 223433) Orly Taitz Law Offices 26302La Paz, Suite 2l I Mission Viejo, California 9269 | Telephone: (949) 683-541 I E-Mail: dr taitz@yahoo.dom UNITED STATES DISTh.ICT COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA SANTA ANA (SOUTHIRN) DTVTSION
Captain Pamela Barnett, pt al., Plaintlffs,
$ $

v.L

$
$ $ $ $

Civil Action:
SACV09-00082-DOC (Anx)

Barack Hussein Obama, Michelle L.R. Obama, c Hillary Rodham Clinton. Secretary of State, s Robert M. Gates, Secretdry of Defense, $ Joseph R. Biden, Vice-P4esident and $ President of the Senate. $ Defe4dants. $

Affidavit of Susan Daniets


My narne is Susan Elizabeth Daniels. I am over 18 years old, an of sound mind and fi'ee of any rnedtal disease or psychological impairment of any kind or
condition.
2. I am a citizen of tde United States of America, born and raised in the Stdte of Ohio.

l.

I am 68 years old and I was

3. 4.

I am licensed by t{re State ofohio as a private investigator; I am president of Daniels and Associates Ipvestigations, Inc., incorporated in March 1995, license number 65199565509. I have personal k4owledge of all the facts and circumstances described herein below and will testif in open court to all of the same.

I located a social qecurity number for Barack Hussein Obama and found that it was issued between 197t7 -lr,979 in the State of Connecticut but as I investigated

5.

further, I found an additi (Deceased) behind it. I belonged to and printed it

eight social security numbers. One ofthe numbers had able to find the name of the person the SSN actually the Social Security Administration death index.

6.

numbers for Michelle Obama. Wren I ran her I researched social name, two different soci security numbers appeared for her, includimg one that is listed for her at 1600 Pennsylvania Ave., Washington, does not belong to her D.C.

7.
8.
9.

The true and

copies I personally obtained are attached.

I solemnly swear circumstances described


I have not recei

penalty of perjury that all the facts stated and are true and correct statements.
any compensation for making this affidavit.

Further, Affiant saith Signed and executed in October, 2009.

Elizabeth

NOTARY'SJURAT
Susan Elizabeth

October,2009, in (state),____g_S-_4_( having been swom by so under penalty of perj listed statements in my Specifically but authenticate the she obtained and descri

.,,7,

els appeared before mq in person on

*t'

1city1,

4Z

./t'

C--{ r-t-;

this

/2

day

of

s license and ) and having presented to me duly rmder oath and having been adtnonished that she did , she did then and there depose herself and give the abovein the form of his written affidavit.

limitation, Susan Elizabeth Daniels did in my presence attached here as a true and correct copy ofthe documents in her affidavit.

Notary

in the

Business Address of N

,rr.Effi

Isr'
line.

My Seal Appears Above My Printed Narne is:-:l'


license expires on:

1/, Lv,i ca.;,'

my notarial commission or

Person Search

https://secure.accurint.com/app/bps/rnain

All I
I

Full Namg

Age,lDOB
oBAMA

AddrGB

Datss
6061s2806
Aug05-Aug07

Phone

lnlgmation .,

*
5046 S GREENWOOD AVE

El <? i= r=l rA Ea 9r.rl=l

//MICHELLE

\\

Gnde[ Femal ssoeo-xxxx

{r

CHrcAGO lL

BHtsH

MICHELLE OBAMA ciender Female

1 OLD STATE CAPITOL PLZ APT SPRINGFIELD lL 62701-1512 May 09 - Sep 09

E
1600 PENNSYLVANIA AVE NW WASHTNGTON DC 20500-0003

/*,.rrrr. oro*o ]f, F [dlH/ cendr Female I zozco-*ox \

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*

Jun 08 - seP os

BHeM
HHmM

MICHELLE OAAF,IIA Gender Female 52247-xJ.xx

5030 QUENTIN DENVER CO

ST 802394312

303'365-5697 -MDT
JulOg -Aug 0g

E
123 W NORTH AVE CAROLSTREAM lL 60188-2001 Mar 09 - Aug 09

MICHELLE OBAMA Gende[ Female

BHtsH
HHtsffi

MICHELLE OBAMA
Gende,: Female 32,1-5&xxxx

936 4 MILE RD NWAPT GRAND RAPIDS MI495441503 Jan09 -Jut09

E
505 CATHARINE ST PHIIAOELPHIA PA 19147-3009 Apr 07

MICHELLE OBAMA Gender Female

E
*
3550 S RHODES AVE APT 1802 cHrcAGo lL 60653 1273

BHtsH BHtsH
HHtsH

MICHELLE OBAMA Gender Femab

E
1901 COLLEGE AVE

MICHELLE OBAMA
Genden Female

s s s

FREDERICK MD

21701

Jun 09 - Sp

ffi
IVIICHELLE OBAMA Gendei: Female PENNSYLVANNIA BEVERLY HILLS CA90210

Jafl 09- Sep 09

2of3

l0/19/09 9: 15 AM

SSN Verifien Plus

SSNffia425
Year(s) lssued: 1977-1979 State lssued: Connecticut

not found in Social

Oeath lndex

1890 08/04/1961 04108/1s61

TBcers Information Spcialists, lnc. - Standard People Sgarch

https;//rrww,trace$info.com,/Searchceatral/yiewreium. php3 ?pargs=.,

Standard People Search


105 Records
Sesrch Crileria
Name:
OBAMA, BARACK

Flags: Afiasis, Bankruptcias, Crlmioal Hecords, Evistions, Proiessional Licenses, Warants


Reports Name OBAMA
BARACK
H

Addrss
2S5 HARVARD ST cAvIBRIDGE tvlA 0213e-2382 Reported! 01/2009 - 01lO1l2O08 : Middles,rx 1600 PENN AVE

lhpe

sst't / DoB

1505

U
i,,4ap

li

lx

OBAMA
BARACK

l,!GTON arC 20007 Reported: 12nWB - 1A2OW


V\"ASH

District ,)i Co,umbia

OBAMA
OBAMA BARACK

BARACK

55S W GOLF RD 1x ARLINGTON HTI] IL 60005-3904 Reported: 11noOB - 11r2AOB 56 THORNTONI FD

1x

NEEDHAIU MA 02492-4330

Reported: 0912008 - 11l2OOg County: NORFOL-l(


713 HART SENATE VVASHINGTON E,C 20510-OOO1

OBAMA
OBAMA
BARACK

1x

BARACK

Reported: 11D@E - 11f200g County: District of Columbia


3535 OLIVE ST DEN\/ER CO B0ir07-.1523 Roported; 09/2008 - 11i2008
: Denver

{x (720\336-i122
1x
N

810 E 13TH AVE OBAMA


BARACK EUGENE OR 974A1-3742 (riatajt!i.i. r iGi illlSl()

Rsported: 09r20O8 - 1112008


435 DALLAS AVE LANCAS'I'ER TX 75146

OMMA
OBAMA

BARACK
BAMCK
L

Reported: 09/2008 - 11/2008


1930 \^/ALLACE I]T PHILADELPHIA PA 1 g130-3220 Reporte.l: 09/1712008 - 10/032008 : Philadelphia 1000 NW 33 AVE FORT V'VORTH T;< 76180 Reported: 04,t2008 - 0912008 : Tarrant

tu1ap

Landline: (215)235-3040

2x
tu]ap

OBAMA
BARACK

It

Nam OBAMA
BARACK

Addrss
123 MAIN ST CHARLESTON

@
i\4ap

SSIrI I DOB

S]

29464

Repofted: o8I2008 - 09/2008


: CharlesiJn

ft

I of 8

10/2/09 9: l4

AM

Tracrs lnformation Spcialists, Inc. - Standard People Search

htps://www.race$info.cofi lsearchcntml/viewreturD.php3 ?pargs=,,

OBAMA
BARACK HUSSEIN

5450 S EAST I,/I:W PARK CHICAGO IL 60615 'X ReporEd: 08120/2008 - o8/20X2008 County: Cook 14 W ERIE ST 1x CHICAGO IL 60654 (POSSIBLE HIC irii:rC Reported: 0820/2008 - O8l20f200g

P(

ivlap

li

1977-1979 in CT

DOB: 08/&/1961 Aqe: 48

Landline: (773)634-4800

OBAMA BARACK L\/wR

Map

It

Cell: (312)310.0069

County; Cook
(No lP Address Reported) Phone: (312)751-1170
NO ADDRESS REPORTED CHICAGO IL 60615 RBportd: 08/1812008 - 08/1812008

E-mail: bobama@lar,.,mbg.com

OBAMA BAMCK

County; Cook
180 N

.rPAAra

ilRri6i ["**,

cHlcAco

LASALLE
lL 60601

1x
i!4ap

orru"Au _)orruo*,

It

County: C6oli
83775 BATES JACI<SON NJ 08527 Reported: 022008 - 08/2OoB : Oc.ean

RD

2x
L4a

OBAMA

MRACK

It

(il':..,:, ".: .,- ) lssued: 1954-1955 in lA


485-4C-51 54

"9t9

OBAMA
BARACK

OOO 33RD AVE FORT WORTI] T.( 76.180 Reported: 08/2008 - 08/2008 : Tar.ant

OBAMA OBAMA

BARACK

505 FARR C CCLUh4BUS GA 3i907.6275 Reported: 0112@8 - 08/2008


1 603 RUCKER RI] ALPHARETA G,A 3OOO4-,1435 Reported: 08/2008 - 0812008

i\.4a

it
jVap

42A-A7

2965

BARACK

li

County: FULTON 180 N U\ SALLE OBAMA

Sf 2200

lx
idap

cHtcAGo
(a ar r:1::1.:ll

BAMCK
HUSSEIN Name

:r

[_ 60e01-2610

l :; IiiSi.)
Addr6a

Reported: 06/0112007 - 06/01/2008


: Cook

li

25 1977-1979 in CT DOB: 08/04/1961 Ase: 48 SSN

Landline: (773)684-4809

DOB

Phone

OBAIV]A

LNI

'

OBAMA
BARACK

FRANKLIN WI 53132

Reportedi 0512008 - 0612008 County: tu1ih./aukee


123 lVHITE IIOUSE iRVTNE CA 9261t1

OBAIVIA

BARACK

Reported: 06/2008 - 0612008


: ORANGT: 15 A
1A.

OBAMA BAMCK
OBAMA
BARACK HUSSEIN

iVIANALAPAI.J FL 33462

Reported: 0512@8 - 05i'2008


: Palm Beach 5046 S GREEN\\'OOD AVE

cHtcAGo
(PCS:r

tL 60615-2806

ii i.E - iGil ailSli) Repo.ted: 1AU2@7 - 0{,N1f20OA


Coun9: Cook

Ivlap

It

1917-1979 in CT DOB; 08/04,/1961 Age: rl8

Landline: t773)684-4809

2of8

lO/2/Oq 9: 14

AM

Tracers Information Specialists, Inc. - Standard People Search

hitps://wlvw,$acersinfo.com/Searchcentral/yiewretum.php3?pargs=..

OBAMA
BARACK HUSSEIN

5450 S EAST VI:W FARK 1 1x CHICAGO IL 606] 5 Reported: 03/2512008 - 0325/2008

i!,1ap

it

County: Cook
NO ADDRESS REPORTED

',ut:::= !!!#.n r-,rr.'n ii,cE:i'effi/1#ii;llas \/ / 'l'rr'c!

",

r'L;a

OBAMA
BARACK OBAMA BARACK

CHICAGO IL

03/0312008 , 031032008

40 TRANSFER

SI

Ix
Landline: (303)s45,C199

DEI\IVER CO 80207

Reportedr 032008 - 03/2008

County: Denver

OBAMA V\ASHINGTOI.] LIT 34780 BAMCK Reported: O8/20O7 - 022008


;
\,1,"as1'r

11,i PENNSYLVANIA AVE inilton

3x iJap

li

79S-89,70S0

505 FARR C

OBAMA
BARACK

Col UiilBUS GA 3.1907


Reported: 0212008 - 022008 County:

ila

423-29-2961

ti

lssued: 1988-1989 in AL
Landline:
.312j7 511 17

7x i4 ir!/ ERIE ST OBAMA CI'I|CAGO IL 60610 BAMCK (:arS,iil..l: ;i 1li l-li5l.1) LWYR Reported: O1lO2l20O8 - O'llO2fzOOB

County: Cook

Cell: (312)310-0069

E-mail: lrobarla@la\,.Inrhg.com

(No lP Address Roported)

Phone: (312)751-117O
SSN DOB

Addrcss
OBAMA
BARACK HUSSEIN

hpo
l'/iap

s450 S EAST Vll:VV PARK PK 8x cHicAGo iL 604i15 Reported: o1/02u0$a - Ollo2l2ooB

ti

1)oozs in CT tssuod: 1977-1979


DOB: Ot/0U1961 Age: 48

'

Landline: i7 7 3)644-4809

County: Cook
PO BOX 1236 PROVO Ui 34603-1236 Reported: 01/2008 - 0112008
15 A,iA
I,NAI\]ALAPAI''] FL 33434 ivlap

oBAMA

1r

BARACK

OBAMA BAMCK
OBAMA

Reported: 01/2008 - 01/2008


CountY: Palnl Beach 5450 S EAST VIE\'V PARK
1

It

651-23-4987

8x
lvlap

BAMCK
HUSSEIN MR

ciltcAGo

rL 60 15

Reported: 11t1512OO7 - 1111512007 Countyi Ccck


5046 S GREEN\^/OOD

ti

1577-1979 in CI EIOB: 04108/1961 Age: 48

Landline: (773)634-,1809

AVE

1?X lvlap

OBAMA
BARACK
H

cHrcAGo lL 60615-2806 (t- iiiS l;rr-: l.riGl i ::.1:1ri)


Reported: o72oo5 - 111'l5l2OO7 Couoty: Cocit
365 BROADWAY SON4ER\./ILLE M,\ 02145 3x

It

1577-1979 in

CI

DOB: O8/0'U1901 Age: .18

OBAMA
BARACK HUSSEIN

iv'iap

Reported: 0610111986 - 1OD1fzooT

li

[,iiddlesex

1977-1979 in CT DOB: 08/04/'1961 Age: 48

Landline: (773)684 4409

OBAMA
BARACK HUSSEIN

365 BROAD$/AY B1 SCiviERVILLE lvl/\ 02145

12x
I,?iap

Repo.ted: 07122001 - 10/01EOO7 : tvliddlese):


918 BAINBRIDGE ST PHILADELPHIA PA 19147

Ii

DOB: 04108/1961 Ase: ,l8

1S77-1979 in CT

Landline:

(773)684,480r

OBAMA

BARACK

Reported: 08/2007 - 0812007

3of8

l0l2l@ 9:14 AM

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?pargF.,

OBAMA oBAMA BARACK H


Reports OBAMA
BARACK

BARACK Rqortedt

123 tilAlirl ST LAIISING IVII 48910 O7noO7 - O7t2oO7

(l:llaiaili:ri : lirlii :,- l:lli.) Reported: OUaOO7 - 06,DA07 County: Cook Addrss
1236 PO BOX PROVO UT 84603

180 N l-4, S/{LLE ST 22001'l CHTCAGO lL 60601-2501

2x
N,lap

It
Maps

I4+zs lsBued: 1977-1979 in CT


SSN / DOB
90'j -09-8765

Reported: 062007 - 06X2007 County: Utah 610 E OLD WLLOW RD


PROSPECT HEISHTS IL 60070-1913

lx

OBAMA

BAMCK

Reported: 0412007 - 0412007 Cqunly; Cook


505 CI\THARINE ST Pi-]lLADELPHIA PA 1 9147-3009 Reported: 0412007 - 048007 : Phiiadelphia

1x

OBAMA
BARACK

OBAMA
BARACK HUSSEIN

5450 S EAST Vll:liv PARK 1 cHtcAGo lL 6001s,5s16 Reported: 07/2006 - 07P006

3x
i!4ap
1r

*zr.-,n

County: Cock
607 E ADAIV]S S'T 9x

DOB: 08rc4/1961 Age: 48

nr".-

!Ti',S?',r,,
Landline:
(2r 7)492-5089

OBAMA
BARACK

sPRlllc::IELD lt, 62701-1634

(l:,il:)jriL:

iili ; :iiS:l) Reported: c/.n1r2006 - 05l07l2oo8


I:

County: Sanganron
OBAMA
BARACK HUSSEIN 300 tulASSAC'rlUSEl-TS AVE
'/VASHINGTOI\I
L'

s lx
'1977-1979 in CT

C 20OCi

Landline:
(773)684-480!r

Reported: 0201/2004 - ozo112Aa6


: District ()'i Co,LrFibia 227 6TH \rVASHll.lGTCN DC 20002

DOB: 08/04/1961 Ase: 48


lyia p

OBAMA
BARACK HUSSEIN

S-T

1x

Repo
3OO

County; Disiricl r)i C0lurnb,a


I,IASSACHUiSETTS

E*

OAOIPO$ - OzD1r2AOo

li
l\r1ap

19Ul-1979 in CT OOB: 08/04/1961 Age: 48

Landline:
(773)684 4809

OBAMA
BAFIACK HUSSEIN

AVE
-2629

1OX

V\ASHII..JGTON D,C

2OOO1

Repo*ed; 09/2005 - 0U01DAffi


: Dislrict oI Columbia
300 I\4ASSACHUSET]-S

tl
3x
[,]ap

il.t+zs lEsued: 1gZ-1979 in CT


DOB: 04/08/1961 A96: 48

Landline: (773)684-4809

OBAMA
BARACK
H

AV

V\ASHiNGTOi! DC 20001-264C Reported: 06/0'l/1986 - 0201/2006

(Etioiiru",rr*n",
DOB: 08104fi96'l Ase: 48

It

684-4aoe

: District of Co,umbia
227 6TH

OBAMA
BARACK HUSSEIN

ST
AddrEAg

8x
Iv'iap

\TVASHINGTONI DC 200C2

Reported: 02/011206 - O2/01D0o6, : Disi|ici of Columbia

lt
l'rapB

192-1979 in CT DOB: 04,/08/196'l Ase: 48


SSN DOB

Landline:
(773)684,4809 Phone

Reports

Name

OBAMA
BARACK
H

'
227 6TH

SI

2x
lMap

AI(A: OBAMA
BARACK

wASHlhlGTOi\i DC 20002-6067 Reported: 06/01/1986 - OZ01l2o00 County: Districl of Coiumbia

Ir

192-1979 in

DOB: 08/0,1/1961 Age: 48

CT

684-4409

AI(A

4of8

l0/2/09

9: 14

AM

Tmcers lnfomation Specialists, lrc. - Standad People Search

hups://rwvw.tracersinfo.com/SearchcJntral/viewreturs-php3?gargs=,-

OBAMA BARBACK ,i4

W ERIE ST
ia

OBAMA

cl-licAGo
(;"

BAMCK

il.:l3l

i-i

tL 60{110-5397 iil.i-,. : - Si r.)


|

Reporied: 12n1E@4 - O1Eg06


County: Cook (No lP Address Repo eO 2x
lvlap

t-andline: (3'i2)751-1 170

E-mail: bobama@lawmbg.com
(-,t,AMA

Phone: (312)751-1170
Landline: (773)684-4809

5046 S GREENVVOOD AVE chrcACo lL 606i5-2306

BARACK h.*neo, oraoou- , rlro*


OBAMA BARACK HUSSEIN
5450,1 E VIEW F.ARK CHICAGO IL C0615

1977-1979 in C'r

6x

Reported: 06/01/1997 - O5f2612005

1977-1979

ir CI

Coung:

Coolr

DOB: 08/M/1961 Age:


Nrap

/a

Landline: (773)684-4609

OBAMA
BARACK HUSSEIN OBAMA

7436 S Etlcl lD /.VE Ci IICAGO IL 60649

lx
it
ivlap
Ji

lHl,

Reported; 05/26/2005 - 05126/2005


54501 SE

tszz-lszgin

DOB: 08/04,11961

Aqe;48

cr fPIg' ^. r/ i ;r'!t'''ruv
[andline:
(773)684-4809

\ JV

1x

BAMCK
HUSSEIN OBAMA BARACK HUSSEIN

CHICAGC iL soii i 5

Reported: 05/262005 - 05126/2005


5450 E VIEW PARI< cHrcAoo rL 60015

137-1979 in CT DOB: 08/04/1961 Age: 48

lx
i\4a p

Reporisd: 05126/2@5 - 05/2612005


County: Cock .l s450 S EAST Vl:UJ FARI( CHICAGO II- 60(;15-5916 Reported: 05/2005 - 05/2005 1x

li

197-1979 in CT DOB: 0010411961 Agei 48

Landline: (773)684-480S

oBAMA

BARACK

County: Cool(

OBAMA BAMCK
OBAMA
BARACK

1013 E s3RD ST lL 6C615-4311 Reported: 12n1l2004 - O144DAO5

Clll{i/lGo

i!4a p

ii

Landline: {773)363- i956

,i4 fN ERIE
Cl

ST

lX
tuiap

llCl\GO Ii- 60654-5397 (,it;.:.Iij!,,: 'ir.t i :: t-- ti) Reported: 12|21EAO4 - O1lc6,f2005

Landline:
\312)7
51 -1 17

E-mail: Lrobalrla@la',!n'il)g.com

(No lP Addr6ss Reported) Addrc&B


SSN

Phone: (3'12)751-1170

Name

i DOB

PhorE
Lendline: (773)363-1ir95

OBAMA BAMCK
OBAMA

10131/ 53RD ST

1x

CHICAGO

60615

O7l20O3 - o7I2003 Reported: 'L

10131 53RD ST CHICAGO IL 60O'i5

BAMCK
OBAMA
BARACK

Reported: 022003 - 072003


: Cool( 1741 E 71ST ST clltcAGo lL 606119

Landline: (773)363-1996

l,lap

Landline:

SEN

Reported: oz0112003 - ouoln@3 Counly: Cocl(

It

(773)363-1S96 r\
Reported:10/(

E-mail: jen mesondist'13@ prodigy. nel

lP address: 192.100-76.133

5 of 8

1ol2l09 9:14 AM

Tracan lnformation Specialists, Inc. - Standard People Search

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oBAMA

p,nnrio< H![}IX,,ii|,i,r'-lioBoo,

:l?9

i"*:':l

F)I

Il'^^

tu]ap

lQ-aqzs
l$uedr
1977-1979 io CT

"

It
1x
I,:;ap

County: Cook
5450 S FAST VIEW PARI(
1

OOB: 08/04/196, Age: 48

OBAMA
BARACK

ct-licAGo

tL 60ti'15

Rewrled: 07n@2
Counly: Cook

- O7I2OO2
1

ti
1x

Iesued:

977-1 979

in CT

OBAMA
BARACK
H

5450 S EAST VIEVI PA|II(

-4425
tlap

ctircAGo lL 60i115
Reporled: A7DAa2 : Cook
O7I2OO2

li

350-60-2302 lssued: 197$,1976 in iL

OBAMA
BARACK
H

355 BROADVVAY
SOI"iERVILLE ivlA 021 1+5-2444 ivlid(ilesex

7x
irla p

Reported: 06/01/1986 - O7l17lZ0O1


7435 S EUCLID AVE CI-]ICAGO iL 6OIJ49

It

lssued: 1977-1979 in cT
DOB: 08/04/1961 Ag3: 48
5

684-480S

OBAMA
BARACK HUSSEIN

8x
lt4a p

Reported: 11fi3nmA - 1lllSfZ0E,A County; Ccirk


7438 S EUCL]D cil cAGo 1L 60{i49-3026
0S101/1986

It

1977-1979 in CT DOB: 04/08/1961 Age: la

Landline:
(773)684,480S

OBAMA
BARACK
H

AV

8X
tulap

Repo ed:

11hgf2OOO

It

1977_1929 in

CT

684480S

DOB: 08/04/1981 Age: 48

oBAMA

ffi$En
Reports Name OBAMA
BARACK
H

l',1? EipiHo-,l'oioi)i6se- 1oroi/1see


Addrese

YIi,']",

8x
i!,iap

It

tOOA,

, rsTz-rszg in
O+lOaff

ml ag", +g

cr

Tii:':-: "^, ('/J'Dur'jr''v


Phons 684-4809

ss
lx
i!'1ap
l1

/ DoB

5450i SE VIEW PI(


CHICAGO IL 606,i5

Reported: 06/01fi986 - '10/0111999


54r5oi sE vlE\'\l

1977-197S in CT

DOB: 0811961 Age: 48

OBAMA
BARACK HUSSEIN

ilK

1x i/iap

cr-iicAGo
Reported:

rL 60615
1O/0 1/1999

- 10101/1999

ii

Et.,n.r-,rrn,n",
DoB: 08/04/1961
DOB:08/04/1961

Ase:48 Ase:48

l1if"i1'.0, rr / ) ur

ru

OBAMA
BARACK H

5450 3 EAST VIE\^J PA 1 5X cHtcAGC ir 606 i5-5916 Repo?tod: 06/01/198 - l0lc1/1999


: Cook

i!4ap
i1

684-48os Q.,+zs fssud: 192-1979 in CT Landline:


(773)68,1-4309

OBAMA
BARACK HUSSEIN

5450 ViEW

PA

1x
iviap

ct-ircAGo
43798 PO

rL 60;15

Reported: 10/0'l/1999 - 1o/01/1Ssg County: Cook

it

1S17-1979 in CT

DOB: 08/041'1961 Age: 48

Landline: (773)0C..l-,.IBOs r\

OBAMA
BARACK HUSSEIN

cHtcAGo _ 606ds
849798 PO CHICAGO IL 60849

5OX

lx
1977-1979 in CT DOB: 081041981 Age: 48

Landline:
(773)684-4a0s

Reported: O9lO1/1999 - 09i0'1/1999 County: Cool(

OBAMA
BARACK HUSSEIN

lx
I,lap

Rsported: 09/0'111999 - 09/0111999


849798

ti
[,1ap

1-,4428 lssued: 19n1979 in CT


DOB: 08/04/1961 Age; 48

Lsndline:
(773)684-480S

OBAMA
BARACK

cl{cAGo

PC
1L

?x 60e49

Reportedi 09/19S9 - 09/1999 County: Cook

ll

lI442E
l$ued:

1977-1979 in CT

6of8

l0l2l09 9:14 AM

Tracers lnformation Specialisis, Inc. - Standad Pople Sarch

https://wrvw.lmceniafo.corl/Searchcrnfi

iervrEtum-php3?pargs=..

"l/v

OBAMA
BARACK HUSSEIN OBAMA BARACK SEN

po Box

49798
'1977-'1979 in CT

CHICAGO IL 60649 Reported: 0Sh999 - 0911999 2152 E TIST ST 7x


ivlap

DOB: 08/04/1961 Age: 48

Landline: t773)584-4e0S

CillC/\GO lL 60649 Reporied: 05/01/1999 - 05101/1999 County; Cook


1440 E s2ND

li

Landlin6:

OBAMA

BAMCK
HUSSEIN

cHtcAco

SI

8x
i,.4ap

tL 60615

Name OBAI,'A
BARACK HUSSEIN

Repodod: 01/01/1999 - 0l/01/1999 County: Cooi( Address

ti
ilap$

DOB: 04108/1961

,rr-,nrn,n Age:48

",

i,"1"",'l1t L/ /r)o(

oo,o

Phone

AR

i440 E 52ND
Cool(

CHICAGO IL 6C6 i5 Reported: 01,01/1999 - 01l01/1999 365

ST

1x

Q+azs lssued: 1977-1979 in CT


DOB: 08104/1961 Age; 48
Map

Landline:
(7

73)OS'i-480-q

OBAMA
BARACK HUSSEIN

BROAD\I/Aj'81

1x

SOiv]ERVILLE i\ru, 02143

OBAMA

Reported: 11112/1997 - 1111,,1997 : []liddlessx 5450i E VlEu/ FARK 4x

ri

lI.++zs
l-442s

ksued: 197/-1979 in CT

BAMCK
H

OBAMA
BARACK HUSSEIN

ClllCliGO lL 60615 Reportedr 06/1997 - 06/1997 County: Cook 5451T1 V]EW PA ctilcAco tL 60ri15

l,,,lap

It

lssued: 19n-1979 in CT

l6x
i{ap

Reported: 10/0111994 - 10/01/1994


54501 SE V|EW PA 5x cHICAGO lL 6061s-5942 Repo.Gd: 06/01/1986 - 1An1I1994 5.i50 S EAST \,1=W PK

ll

ffi lrrr-lnrn,n", l'lyl:" ifril-tnidinddiii.iqe /::;Pl-4425


lssueil: 1977-1979 in CT
DOE: 08104/1961 Age; 48 684-4809

1'

OBAMA
BARACK
H

i!4ap

it
lvlap

-i

OBAMA
BARACK
H

1T{

Reponed: 06OU1986 - '10/01/1994


: Cooi(

cl- cAco

rL

(i00]5

la|,qaza

It

lssued: 1977-1979 in CT
DOB; 08/19S1 Age; 48

OBAMA
BARACK HUSSEIN

5450,i SE V|EW PA CHICAGO IL 66Ti.5 Repor$ed: 1Or01I1W4


365 BROADVVAY BOSTON MA 02I1,i (r:a:: i1La l.llGi ii

2X
i,1ap

- 1AA 1W4
4x

It

l#i,rr]r.,rrun",'t,:l'jl' rBri
ifrE,iidd/1s;iiilli8
I7-3r6s{
Landline:
(617)623-'i266

ST
i:i,l)

OBAMA
BARACK

i'4ap

Reporled; 08/01/19921 - 08/01/1S94 County: Suffolk

It

OBAMA

BAMCK
HUSSEIN

(:.iil-:lil-i l-l !l-l i-.lri ii)


Reported: 08i01/1994 - 08/01/1994 : Sllffolk 5324 S l(lMBARl( AVE 8x
CHICAGO IL 60615

365 BROAD!\AY BOSTON ivlA 02 l

ST ii

1X

lvlap

It

Jrrr !Gra:tt-:grn^,""1^ ?ii";lt"i..,eor DOB: 08/04/196'l Age; 4t) '


I ;

OBAMA
BARACK HUSSEIN

i\iap

Reported: 12101/1S93 - 12n1llg93 County: Cooi<

lt

1977-1979 ln CT DOB: 04/08/1961 Age: 48

Landline;
i7
7

3)eB4.4BCg

ReporG OBAMA
BARACK HUSSEIN

Ad&ss
5324 S r<liVtBAR)< AVE

lhs
iV

SSll,

DOB

Phone Landline: (773)6A4-4809

cHtcAGo

li_ 60115 12JO1 t',1993

ap

1UO1

1993

It

1977-1979 in CT DOB: 08/04/'1961 Aoe: 48

Toftl

rctaog 9|t4 AM

Tracers Infomation Specialists, lnc. - Standard People Search

https://rvww. traceEi nfo.corlsarchcentra!/viervretum.php3 ?pargs-..

: Cook OBAMA BARACK

5450 EASTVIEV( PK 1 1x Ci-.iICAGO lL 50rii 5 Reported: 08/01/1993 - 0910'l/1993


Cook

OBAMA

7436 S EUCLID AVE

2x
,Map

BARACK
OEAMA
BARACK HUSSEIN

CiiICAGO ll- 0C{1.19-3626 Roported: 08/1993 - 08/1993 County: Cook


365 \A/ BROAD\ /A\. BOSTON I'lA 02127

It ,lx
[,]ap

Il442s 1977-1979 in CT
bsued:

()f:-,.:i, jLE

r,,i:.1 I

rli:t.)
3x

aa)+425

Repoited: 07/01/1991 - O7l01l19ql : Sufiolk


5324 S l<lJllEARl(

It

l$ued; 19r/-1979

in CT

DOBi 08/04/1961 Age: 48

Landline; (773)riB4-4809

OBAMA
BARACK
H

ct-itcAGo lL 60015-5287

AVE

N4a

Reported; 06O1/1986 - 1211990 County: Cook


365 BROADIVA)' B1 sot"lERV1Ll E lvu, 02145 Reportsd: 08/01/'1988 - 09/01/1988

It

alqqzs in CT lssued: 1977-1979


DOB: 08/04/1961 Ago: 4ti
Landline: (617)623-i 265 1977-1979 in

OBAMA
BARACK HUSSEIN

[4ap

ii

CI

OBAMA
BARACK HUSSEIN

County: l,liddlesex 1x 1l! l'.1 ci ilcAGo iL 6061s Repofted: 01/0rl1988 - 01/01/1988


hl

DOB: 1990

ivlap

Ir

19n-1S79 in CT
DOB: 08/04/1961 A96: 48

Landline: (773)684.4809

OBAMA
BARACK
H

1i{

2x Uap

CHICAGO ]L 6fX)15

|I|4428

Reported: O1l1988 - 01/1988 County: CoDl(


5429 S HARPEIi AVE 1N ct-ircAGo lL 6c6i5

It
,lx
i\iiap

ls3ued: I 9Z-1 979 in CT

DOB: 08/04/1951 Age: 48


Landline;

OBAMA
BARACK HUSSEIN

Reportad: 1041/1986 - 10D1/1986 County: cook


3X 5429 S ITAPPER A\.IE CHICAGO lL 6Cii-r 5-5543 Reported: 0610111986 - 10/1986

It

lgZZ 1979 in CT
DOB: 08/04/1961 Age: 48
25 1977-1979 ln CT DOB: 08/04/1961 Age: 48 SSN

OBAMA
BARACK
H

1hJ

i!,lail

li
lllaps
i,,1ap

t{ame
OBAMA BARACK H

Address
1440 E 52ND ST

DOB

'
i3.i

cHICAGO

lt_ 60ei r5-4

Reported: 04/1986 - 0411986 County: Cool(


5450 EASTVIEVV PARI<

ii
i!4

DOB: 08/1S61 Age: 48

OBAMA
BARACK
H

cHlcAGo

ri0ri15

ap

It
i!4ap

l9z-197s in CT DOB: 08/1961 A(re: 48 l9n-1979


DOB: l89o
in CT

OBAMA
BARACK HUSSEIN

365 BROADVVAY' B1

SOI\IERVILLE f!4A 021 45-2440

: Nriddlesex
5450 E VIEVI,/ PP RK

It
Map

OBAMA
BARACK
H

cHlcAco

tL 60ti'i5

: Cool(
54501 SE WV CHICAGO IL 6061 5
: Cook

It
Nlap

lssued: 1977-1979 in CT
IS77-1979 in CT DOB: 08/M/1961 Aq6: 48
6B,r-4809

OBAMA
BARACK
H

ti

of 6

l0l2l09 9:14 AM

Social Security Death lndex Search Results

http://ssdi.rootsrveb.ancestry.contcgi-bin/ssdi.cgi

wrlcoha to Rootsw.b,.on

.,t. i

,4"

ll.ln.

Sirchas

!lssvrra:

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Type ln Your Name & Get Your lnstant Family Tree!

Social Security Death Index Search Results


85,156,742 Records last updated on 9-28-2009
Tha most full-fcatured SSDI scarch cngine on thc intcrncr

/The key to your research " .loin Anceslr\.conr 'foda\

Fleld

Vslue
485405

Records Results
r

ssN
Vielvint

t54

l.l Name

of

t.

Bi
22

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First Name:

Ordcr

I998 d-amoni- Inonl-. f;;2 (V1 [r.c:rrur. lA) sPecrrrcd) Vieivihg l.l of I
BALTAFn"YNE

LUCILLEI

Sco 50140

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SS'5 l.c(lcr

/\dd l)(Nl-rD1
S..nrch Anccstn.c(n

Last Name:
a

(V)=(Veritjcd) Repon verifie{t with a family member or someonc actiDg on behall'of


(P)=(Prrxrf) Death Certifi cate Observed.

lbmily member.

Sea

rrh

You can now order thc SS-5 Fo'ln for deccls.d individuals directly from thg Social Security Adminisrration onlire at

latt

name

Exact

First Namc
Middle Name

(initial)

ssN
Lsst
zip
Statc

485405154
Last Be[cfit

Rerldencc

County

City Birth

I of 2

10/19/09 10:04

AM

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