ROUMANIE ROMANIA ROMANIA

CEKTA r r cA,T
CERTIFICAT DE MARIAGE / MARRIAGE CERTIFICATE
DE CA*SA',TOKT
Y9

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seria CE
S6ie/Seies
Nr.
No./Nmb.

DATE PRIVIND SOTII SOTUL soTrA

Dates concernants les Epoux/Husband Epouse/VVife
Data concerning the couple
'pouit
Codul numeric personal ttstZt lt Q lr3t 1478
Code personnel/
Personal number
tSAALLZZNNNNNC 'atot AALLZZNNNNNC
Nurnele de farnilie AL *RJ,U kl inec*nt
Nom/Surname
Prenurnele
Pranom/First name
Data nagterii
Juklil-ft.u-klie@
Anul /Ann6e/Year I /Honth lZiua
Luna / MoE uourtDay
,lANlflh Nie0/h
\nl)l/A nneetYear I LUna / Mois /tvtenth LlUa / Jour/Dav

I lEt I oeJo urtui I I I lVb0 ldeoenuh& C

Date de nalssance/
Date of birth
Locul nagterii
Lieu de naissance/
Place of birth
t'A{/ I
localilatea ttrcatit6 / I Judetu I /Dep /Co.
Place

/K/
/
'*{/
LOCalitatea /Lpcalit6,/ Placo I J Udqtul /pep -/Co -
I lttr/
Numele de familie
dupd cEsdtorie
Nom apr6s le mariage/
Surnaine after the riarriage
' oLftfiu MirvrcftN
AR
DATE PRIVIND PARIN / Dates concernant les parents /Data concerning the parents
{ob Numele de familie
Nom/Surname 0Lt pt'u ll iNFct N
3efi Prenumele
PrAnom/First name CAN,TNNrtN h// Ul'lAfl
Nurnele de familie MiM€cfr^l
Nom/Surnama 0LkftJ'u
*rt
S
Prenumele
Pr6nom/First name ldrtfele 0ft.rfl M sl

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n"li ae niriaqe nO./
T,Ei,iZ66'J.tdi*l'nmb
, / de / trom (ziua, lupa, aqul lioun mois, annee / day. month, year)

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t'' __ _ _____ ltf_/_
illg-g^i:tllt
enreotslre a/ t - Go"-uuGGZnnrioas-a?5ibon=suratull
/ Ptace/Embassv/consutate)
(Locatite/Ambassade/consutat
/ (Jude tut loep"rtement/county)
i|'bfit|ib"a Zt
Mentiuni
Menti6ns/Mentions

Semndtura
SiOnature/Srgn?!Ie

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Data
Elibgfat de _- --- jis.;...*:;:.;-inr*:-j-.-,r Date/Date