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[Seal of Arms]

CIVIL REGISTRY – TRUJILLO OFFICE


BIRTH REGISTRATION
Rectification YEAR 1974
ITEM NUMBER one thousand one hundred twenty-four.
By virtue of the judgment of
the fourth civil court issued In Trujillo, at eleven o'clock ten minutes
by Judge Dr. Andres Garcia on the 10th of April, one thousand nine hundred and seventy-four,
C., Secretary N. Santos, to this section showed up Mr. Sigifredo Melvin Angulo Garcia
issued on the twenty-first of thirty-seven years, civil status married, of occupation
day of August of nineteen physician natural from Otuzco
seventy-nine, the present of Peruvian Nationality domiciled at Av. Galvez
heading belonging to the S
number seven hundred forty-four Chimbote identified with its LE No. 2616481

Republic of Peru
minor Rory Erick Angulo and manifested a man born on the Sixteenth day of March last
H

Serrano is amended , in the at zero hours thirty minutes


sense that the father's real
in the Sanchez Ferrer Clinic number ---------
T

name is: "Siguifredo" and


who is subscribed with the name of
not "Sigifredo" as wrongly
Gerardo Javier Angulo Serrano
R

stated in the game. Trujillo,


October 5, nineteen seventy son of the declarant
nine. The Civil Registry of ........ years, of state ........... of occupation ...............
I

Officer. ……………….natural of ....... ........ of nationality ........... domiciled in the street .........
and of Doña Zoila Angelita Serrano Vazquez of thirty-six
B

[Ilegible signature] years, of married state of occupation Natural pharmaceutical of Santiago de Chuco
of Peruvian nationality domiciled in Av. Galvez No. 744
In faith of which they subscribe .........

the declarant
[Illegible signature]

IDENTIFICATION AND MARITAL

RENIEC [LOGO]
NATIONAL REGISTRY OF
STATUS
The Registrar The head of the Civil Registries
[illegible signature] [illegible signature]
CIVIL REGISTRY PROCESSING
RENIEC
[SEAL/LOGO]
VALIDATIN CODE

RENIEC [LOGO]
NATIONAL REGISTRY OF IDENTIFICATION
AND MARITAL STATUS
REGISTRAR OFFICE
THE SUBSCRIBER:
CERTIFIES THAT THIS IS A TRUE COPY
OF THE ORIGINAL ITEM THAT IS
REGISTERED
IN THE RESPECTIVE BOOK THAT IS KEPT IN
FILE OF THE RENIEC.

SAN BORJA 18 DEC 2019

ARTEMIO SANTIAGO MINAYA RAMOS


D.N.I. 10147828
[unelligible signature]
CERTIFIER
LIMA REGIONAL HEADQUARTERS
RENIEC

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