Serbian Orthodox Diocese of

New Gracanica-Midwestern America

EXCERPT
FROM THE PARISH RECORD OF BIRTHS AND BAPTISMS

CHURCH: St. Basil of Ostrog Serbian Orthodox Church, IN: Mettawa-Lake Forest, IL
Number 2 Page 46 Year 2022

Place of Birth Chicago, IL

Month and

Birth 2013, November

Day of
Year,

Baptism 2022, March 5

Name of baptized and sex Zara, Female

Church or place where baptism was Saint Basil of Ostrog Serbian Orthodox Church, Mettawa
performed – Lake Forest, IL

Name, surname and residence of Zoran Simonovic, Mundeline, IL

parents (maiden name of mother) and
their church affiliations
Marital status of parents
(Church or Civil marriage)
Serbian Orthodox
Andrea (Kudjija) Simonovic, Mundeline, IL
Serbian Orthodox
Church

Name and surname of Godfather, where Djordje Veljkovic

from and present residence

Name and surname of priest who Rev. Fr. Aleksandar Petrovic

performed the baptism

Remarks

I certify with my hand and official seal, that this excerpt is in exact accordance with the RECORD OF
BIRTHS AND BAPTISMS.

in Mettawa-Lake Forest, Illinois ______________________________

5th day of April, 2023 Rector
Rev. Fr. Nikola Radovancevic