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ROUMANIE

û æ

R

R O M Â N IA

/n /F ic s v T

ROMANIA J jlillIS

t t e

CERTIFICA T DE NAISSANCE / BIRTH CERTIFICA TE Sèrie/Series

DATE PRIVIND COPILUL Dates concernant l'enfant/ Data concerning the child *

WSêèSêÊêêèèêëëèêêêêêêsB83741 JBllIil

No./Nmb.

Cod Numeric Personal

;

Code personnel/Personal number

1 2\J?[ ô \4 1S 0 Ê k 8 \
Numele de familie

Nom/Surname

Prenumele

MÈÊSÊÊÊÊÊÊfé'éS

Prenom/First name

A nul /A n n é e /Y e a r

Data naşterii

S e?5se^

(L

BÊÊÊËÈÈÊÊÊêêÊSÊÊMÊ W w m

Date de naissance/Date o f birth

Luna /M ois/M onth

Is iiiiiË iit e

Juţaeţul /D é p a rte m e n t/C o u n ty

Localitatea /Localité/Place

Locul naşterii Lieu de naissance/ Place o f birth

7 ÎA & U

¡BBS

Ziua /Jo ur/D ay

1 j j

V>y

DATE PRIVIND PĂRINŢII /D a te s concernant les parents / Numele de familie Ñom/Sumame TATAL Prenumele Père/Father

Data concerning the parents

Prénom/First name

Numele de familie

MAMA

Nom/Surname

Mère/Mother

Prenumele

s r o /o w c é M fû A & A ?

Prénom/First name

nr. __ _ ' Act de naştere __ Acte de naissance n o./ Birth document nmb.

înregistrat l a enregistré à /

*2

gS8g8§8§8|ëSSg

S\ .

t

,

-------------- T/ÈLQâi _57 1 i l -----^or>éul (Locatitatea/Ambasada/Cpnsulatul)

'èjjïbasi onsulate) (Localitè/Am bassade/C onsulat/P lace/ipibassy/C

registered at

Menţiuni

$ È l ___- - » I l din «.L,_jSL _!(ziua, _ luna, anul /jo u r, mois . année/

WÉÈÊÊÊÉÈÊÉMÊèÊê

Mentions/Mentions



day, month, year)

ÿigeJmk'£:Mü (Judeţul

/D é p a /ie m e n t/C o u n ty )



Semnătura SignalOfe/S^nature

Eliberat de

Délivrée par/issued b y

Date/Date

A A A A L L Z Z

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