inal Fam {Tew aeansed fo ag Baa) (Rovecd Ang 31) Republic ofthe Philippines Same OFFICE OF THE CIVIL REGISTRAR GENERAL CERTIFICATE OF LIVE BIRTH a Registry No. | "$2 14498 Province__sossocon City/Municipality __sorsocon cry 7 Nae Fen ‘iicaey T= RYLEE uous aur IC] 2 SEK iswrFenaey [a OE GF Omi H MALE she 2 pees 1 [1 RAGE or Nae eraprateRsaRRAT CRT Pros) fe eel ‘sunichitse sorsosonciry SORSOGON D/ SVeE OF Bie TSE MOLTPLE BATH CLD WAS Se BIRTH! ORDER oars 6. WEIGHT AT ITH Brg ons a) | Se. me ag) —sivoye | | secon — 3,400 ors [iment aay Ta NaMe M REIL _tozana ___UOLA, _ 1-9 © CnaENSAP Te" REUGIONREUGIOUS Seer TT, FUPINO _ | __ Roman caTHouc _ a: Taal ao af OH We aes at [TD6-Wa a aise tas _ [Th OCCUPATION ENE HH | aren Pomc Nee) sh tow 1 cts yes | Seat teteens) ee Lo L__susivesswomas | R18: RESIOENCE (Rome Na, Se Bianser on) Frones) Tot 1 |__ #101 ASUNCION ST. BRGY. 2 POBLACION _STA MAGDALENA SORSOGON ___ PHILIPPINES Fm Nae ee ‘siede) Tay Al REMAR ___carauoe _ xu fs omzensae 1. RELIGIOWRELIGIOUS SECT [7 OCCUPATION [Rae oe | amen oe H FIUPINO ROMAN CATHOLIC BRGY. TREASURER 7 E [fo RESIDENCE | maa) ———«nan “Proansay Cau R] 101 ASUNCION ST. BRGY. 2 POBLACION. STA MAGDALENA _____SORSOGON_____PHILIPPINES _ MARRIAGE OF PARENTS (et marie, accion Aft of AinonesgenentAarionon of Patty sth bah) [20a DATE (Wott) (bay) (Waar) | 20. PLACE (Citra Proves) ‘Cain GANUARY 102018 ROSIN SORSOGON _ PHILIPPINES. |2¥a: ATTENDANT - ~ xx 1 Physon _2 Nurse _ 9 Midwife _ 4 Ht (Tradtenal inn Atanas) _8 Others (Spey) _ [216 CERTIFIORTIONSOPATTENOANT AT BIRTH (Phjlaan, Nore, Sate, Tisai) By Alanson. ee) hereby oy tat he bith of the cid who was bom sive at 338 PM ampm othe date of bth speci’ above, Slonatre - esos SORSOGONCITY Nome in Prt__ROSALIY DEALCA MD = sor [Tie or Postion.__ ATTENDING PHYSICIAN, ___ Dale_____September: - 7. CERTIFICATION OF INFORMANT ST ee rs Sak UY | Z Signature Name in rit ts as A i Retatonship tthe Calt_FATHER. | VAGION E, MORALED! none npn —_ SALVACION on | Tite or Position \ as 'REMARKSIANNOTATIONS (For LCROIOCRG Use Oniy) CERTIFIED PHOTOCOPY FROM THE ORIGINAL fon y erco a Be FALEDUP AT THE OFPEE OF ESL REOSTIAR A ASFA ] I