STATD (f .

tr'NII AÑI
CDRTIFICATION OF VITAT RECORD

COUNTY OF KEI{T
STATE OF MICHIGAN
1Z 3G
STATE OF MICHIGAN
DEPABTMENT OF COMMUNITY HEALTH 121 -

#iiH$H'$U}:lulru
I. CHITO . NAME
ffi
{FTRST}
CERNHCATE OF LIVE BIRTH

{MIDOLEt ILAST)
§IAIE fi.r n §

Shcyla Vlc¡ntc-Fra¡cisco
cH[."o .2. sf.x 38. PLURAUTY'§ñslq'tu,¡. 7/i9ta. ác. 3b, IF NOT SNGLE BIRÍH . Frf 4a. DAÍE 0F SIRIH ttbdh, Dry, Ynl 4b. TIME OF BISTH
l*c¡til S.qorn, núú, dc. lWrt

Fcaalc 8iaglc octobcr 21, 2007 2t 7PM

NAME 5b. CIIY, VILLAGE, OR TOWMSII¡P OF EIRTH 5c. COUNTY OF EIRTH
PLACE
I Cara oraad für¡t
8a. MOTHER'S LEGAL NAME tÍtá, t&údt ¿tal 6b. MOTHER,S FULL NAME BEFORE FIRST MARRIEO IFÑ,,&á. LEI

üuaDa lr¡¡ci¡co-Pegro üua^Ba lrr¡cl¡co-P

fofHEn 60. STAIE
8c. STATE OF BIRTH - NAME 6d. OATE OF BIFTH 6€, RE9DENCE.CITY, VILLAGE, OR TOWNSliIP Ot. COU¡ITY
COUNIRY IF NOT USA Itlqrh, Od. Yul lota .- -, 0a ,Et rl

tr rxco€ crTY on vr.u6€ oF

, Ghrateraale oat 29 - 1972 n T\i/P- ar I¡nt

7a, FATHER,S CURRENT LEGAT lM Uiflolel 7b. STATE OF BIRIH . NAA.IE COUNTRY IF NOT USA 7c. DAÍE OF Alqf{l,/.tt h. hY' Yü,

TATHER

lr¿do Vlccnte-Vfceata Gh¡rtclela ila¡ 061 1975

8b. THE T
83, I CERTIFY THAT THE INFORMATION PBOVIDEO ON THIS CERNFICATE IS
CORRECT TO THE BEST OT UY KNOWLEDGE ANO BEUEF
8t
AND CARO.
p¡¡6¡galrfi
-Ut*'l'l\ 0' E *a( (-
i {)
SlGIIATURE:
{PAñE}rr OB OTHEñ ilfontArfii fttYee fl No

9b. cEñTtFtEn's NAME & flrlE (rnt ü §p.l

9a. I CERTFY ÍHAT fHE ABOVE NAMEO CHILO WAS BORN ALIVE AT THE PLACE AÑD TIM€
AND ON THE DATÉ

9GNA
Oot 25, 2007 LavoD.Dc Bll¡hl, EUC

W
0515828 1Ob. OATE FILED 8Y L0CAI REGISIRAR - ttteh. D.y,'/a)
1 0E. ñEGISTRAR'S SIGNAfURE

REOSTNAB
NOv o 6 2oo7

ivl
I. MARY HOI-l-lNRAKL.. CLERK OF KENT COUNTY DO HEREBY CERTIf Y thirt the loregoing is a trLte and exlct
cop¡ of the oricrnai clocument on file ln thc office of the County C)erk.

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n¡¡.ntg solttr¡naxr
DATED; cbü¡rrv clenr
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SIGNATURE OF BEARER / SIGNATURE DU TITULA:Pi : ;¡.,i .: - ]:

PASAPO

Surname /
VI
Given Names/ Prénoms
SHEYLA
Nalionality / Nal¡onalité / Nacisal¡dad
UNITED STATES OF AMERICA
Date of b¡dh / Dale de naissnce / Fecha de nacimienlo
24 Oct2007
Place of b¡dh / Lieu de najssance / Lugar de nacimiento
¡IIICHIGAN. U.S.A.
Date of ¡ssrc / D¿te de délivrance / Fecha de exped¡c¡ón
29 Dec 2015
Date ol exp,ratron /Date d,erpiratron /Fecha de caducjdad

28 Dec 2020
Endorsemeats / Mentions spéci¿les / Anotaciones
SEE PAGE 51
U§A
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