SUMMARY TRANSLATION OF ADOPTION CERTIFICATE

STATE:
CERTIFICATE NUMBER:
BOOK NUMBER:
PAGE NUMBER:
RECORD:
DATE OF REGISTRATION:-
PLACE OF REGISTRATION:
ADOPTED:
DATE OF BIRTH:
PLACE OF BIRTH:
ADOPTANT:
NAME:
AGE:
CIVIL STATUS:
NATIONALITY:
NAME:
AGE:
CIVIL STATUS:
NATIONALITY:
ADDRESS:
JUDITIAL RESOLUTION:
DATE OF EXECUTION:
CERTIFICATE ISSUED AT:
DATE CERTIFICATE ISSUED:
COUNTY RECORDER:

I certify that the above facts is a true and correct summary of the attached Adoption Certificate, translated
from Spanish to English, to the best of my ability and expertise. I declare freely and under the penalty of
perjury that the foregoing is true and correct. Executed at Yuma, Arizona on the .

RIGOBERTO ROMERO