ROUMANIE R O M AN I A ROMANIA

C"ER~IfIC.'A.T'V'E :N"'_'A.$T1:R'E
CERTIFICAT DE NAISSANCE I BIRTH CERTIFICATE
Seria N.14 Nr. 959177
Serie/Series No./No.

DATE PRIVIND COPILUL

Donnees concernant l'enfant/
Cod Numeric Personal I 11 I I I f Jo I~ 1·~ !&I
IGI t 10 IOl j
Data concerning the child Numero personnel/Personal number S A A L L Z Z N N N N N C
Numele de familie
Norn/Surname MOLfft-
Prenumele
Prenom/First name
Sexul , .i
Sexe/Sex l'CfT\\I\\IN

Locul na~terii Judetuf /Departemenf/County

Lieu de naissance/

v,- -
Place of birth
11
DATE PRIVIND PARINTII / Donnees corc~nJ.ant /es paref)t Y Data conce(fling the parents
1
Numele de familie 1
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TATAL Norn/Surname \ 1
,.' f,
Pere/Father Prenumele
?ef0.
1
Prenom!First name \ \llff
Numele de famille I;: \1 ' I

MAMA Norn/Surname f (..3r;5Z°l'.~ I I',) ()Littl;

Mere/Mother Prenumel~ \1 ) -: ~" ,4J 1o.1 N ELL
Prenorn/First name \Vt <....-, .,._ .,... " ' ·11 ,, U "
1
Act de_na~tere nr. ___
Acte de na,ssance no/
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de/from
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\.{ziua, luna, anul /jour, mois, annee / day, month, year)
~rth ~ment no. G,~rl 'ro) / \ J f..ty{(1:; \1 \'tl-
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registered at (Localne/Ambassade!Consulat!Place/Embassy/Consulate) /

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Eliberat de ___~&hi\~]'_ _s)~c; .9~-~ll- __ __ ______ _ Data I ~o 1i) ID181\,, I

Delivre par/Issued by ·, • Data/Data A A A A L L t. Z