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PoorishHQational Uepublic Iederal JovernmentH

Vocietas Uepublicae Ha Dl Paurikanos
L.Velf. Oaw. Dm. Paster
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Oet it be Nnown by all Pen that around about 83 DP on GD\, the first da
iay the
y month of shawwaal in the
year374 Poorishe Falendar, corresponding to the
>54] Christian Calendar, occurred the live bHDrth and nativity of

theodore moses antoine bey

LQFDSLWXVGLPLnXWLRQROR in red ink, LQSropria SersonaVui Muris, Ln Sroprio Volo, Ln Sroprio Keredes
a man, Poorishe Dmerican Qational child, at the coordinates [41.5598° n, 73.0596° w]
waterbury generalKRVSLWDO F/R: 64 robbinsVWUHHWwaterbury connecticut terratorie]
Qorthwest Dmexem  Qorthwest Dfrica  Qorth Dmerica  'Whe Qorth Jate'
Zherefore, the below signed witnesses do affirm to and verify all claims to this live birth andnativity.
Pother: aldora freeney Iather: john antoine
Pother's Volar UHWXUQ 24 november 1929 Iather's Volar UHWXUQ21 april 1927
Pother Eorn Qear:dequincylouisiana Iather Eorn Qear: dequincy louisiana

Vun libra 07ƒ17

Poon scorpio04ƒ13
DscendantMXSU3ƒ24
Dsc15ƒ15

____________________________________ _____________________________________
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