ROUMANIE R O MA NIA ROMANIA

C'EnTIJICATV'E C5\5ATO'RI'E
V V

CERTIFICAT DE MAR/AGE I MARRIAGE CERTIFICATE

Seria CY N r. 989043
Serie/Series NoJNo.
DATE PRIVIND S011I SOTUL SOTIA
Donnees concemant /es epouxl Epoux/Husband Epouse/Wife
Data concemin the cou le
Cod Numeric Personal
Numero personneV I I I I I I I I I I I I
Personal number S A A L L Z Z N N N N N C S A A L L Z Z N N N N N C
Numele de famllie
Nom/Sumame
Prenumele
Piunom/Flrst name
Data nasterii ear Luna /Mois/Month Ziua /Jour/Da
Date de na1ssancel
Date of birth
Locul na�terii t . /Locallt6/Place Jude ul /Dep /Co.
Lieu de neissence/
PIBC9 of birth
Numele de familie
dupa casatorle
Norn apres le mar/age/
Surname afl9r the msniage

DATE PRIVIND PARINTII

Numele de familie
...._ � w Nom/Sumame
.A'-::. :;:

r< ll it
r�Sl-::-'c=.-=:.;.c.;.:;�---+---l--:H.H�-=T'��Hl�*-"-"��-l--,-c::-l-i------------�
Prenumele
Pr{mom/Flrst name
<t: -::. .. Numele de familie
� � ll Nom/Sumame
<t: �
� -0 Prenumele
� � Prenom/Flrst name I
Data �i locul incheierii casato iei/ f;)�t� 6Vh3uc!6, H'Bg8-_D"afe anfl pl/ipa o the marriage
------------ ----.----------- - -
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- - - -7�.,.},...- -,► -t-t -� - \ - - -. r'-�-
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f , "'
Act de casatorie nr. ____ -�.J._..f__ L dm ....i..-....\�---- __________________
1 de.1lqm • �11,1a, luna, anul /jour, mo/s, snnde I day, month, year)
t���;::::�e���o.
inregistrat la ____________________ -,-______________/_________________ _
anroglstro at (localitatea/AmbasadalConsulatul) (Judetul /DepartamanVCounty)

�;�tl!�!tlons ______ -/� � ��:_ ::s:����=� : :

oc t s mb s /Co a

--------------------------------�-�---------------------------
_ � �_ �___________________ _

L.S. Sem.natura
Signature/Signature

Eliberat de __________________________________ _ Data

Date/Date
I AI A1 A 1 A I L I L I ZI ZI
De/ivril par/Issued by