(07570-6B-105MIR-00250-B1004 i T POSSIBLE IMAGE crnce tte Pee OF THE CiviL_ REGISTRAR. GENERAL CERTIFICATE OF LIVE BIRTH 0 st como, eect - nice X’osare we sopra sree foo 2 tn at 1. NAME, Fe Jos aR 2. SEX Es nade 3 Fare 4. PLAGE OF aneatHonptal/Cei/mnton/ — (h/wancoaly) BIRTH Howto, Sst Burnge) ’ (Proves) Te by ecempted la quedo’) Page 1 of 1, 1 Copy (Copy er 06R0} TO BE FILLED UP AT THE Gerice oF me CML ReaisTaan’ c 4 ' Brgy. Ste. Rite Taya, Fatangas Oity Ratangas § |S Pe OF ainrs fh IF MULTIPLE BIRTH, CHILD WAS (BleTztol+ Et Sige 2 Tn tre 2 Stone —— 3 we 5 one Spealy a 4. WEIGHT AT BIRTH 7 a fy foetal ee © Woolchiaren| Tage ato tne othe ELEErY 22 youn, 12, RESIDENCE (House No, Sire, Barangay) (GyfMur tert ites Brgy. Sta. Rita Ilaya, Batangas OEEEIFIE! ao 7) a) oa F sake fom mii {|e OmaENSHP aeappae 7 i Usarte 7 {T Mra oanvon Tr aeatases R ‘Eapleyee "st n cs (eB) (el) [ele Tar DATE AND PLAGE OF MARRIAGE OF PARENTS trai oni et eeiciguatiamiasye aay aie} fgetl 14,1999 Batemgas Clty —___ i a ia ATTENDANT a uew | le] LE TEs Hidot Gracitionas saci) ann s o2 Taverronton trade WE dvize O 4340 i re Sta. Rita sooner ik sae gas te 7 ent etatneniprnecins — MORO ar» August 2)2002 _ 71, PREPARED BY [ta, RECENED AT THE OFFICE OF | [ fal sere sarees ange foment ee ar Tuscan ae eee woe ALLL? BReN (01005-B02N601-4 Documentary Stamp Tax Paid jm) gg __ CLAIRE DENNIS S. MAPA, Ph, D. National Statistician and Civil Registrar General Moree Senin