VITAL STATISTICS UNI

BIRTH CE,RTIFIC.\TE

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2, Date of Begistration

6 N-nie-of L:rr; A\DREA LUCIA FL:LLER

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I 6 Decemher 2012 FEMALE
4. Date of Birth: 5. Sex:

Western Regional Hospital, Belmopan City, Cayo DISTRICT

6. Place of Birth:

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RF,I,I7,F,

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Cotton Tree Village, CAYO DISTRICT

11. Address;

III. MOTHER'S INFORMATION l:fa

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14.Age_--
Businesswoman
11 6, M atrftal ]
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