EFTA01681854
I1111111II111111IllDIII111l11111IIII11111 II Ill *NY3384781* Ver Se2016 This is to certify that the within copy has been compared by me with the original thereof on the in the Bureau of Vital Records, New York State Department of Health, Albany, NY and that it is a correct copy of the original record and of the whole thereof. New York State Registrar Jot 12 ?nor N. B. Do not accept this copy unless the raised seal of the New York State Department of Health is affixed, thereon. Albany, New York EFTA01681855
EFTA01681856
T Y -NEWYORK STATE OF OPPORTUNITY. Department of Health ANDREW M. CUOMO HOWARD A. ZUCKER, M.D., J.D. LISA J. PINO, M.A., J.D. Governor Commissioner Executive Deputy Commissioner US DISTRICT COURT SOUTHERN DISTRICT ONE ST ANDREW'S PLAZA NEW YORK, NY 10007 Reference Number: O211930278 Birth Certificate for 7/14/2021 Your Vital Records certificate request was processed. If copies for more than one person or several types of records (i.e., birth, marriage, death) were requested, and those copies are not enclosed, they will be sent separately. Thank you, New York State Registrar New York State Department of Health Bureau of Vital Records RETURN LETTERS - CERT P.O. Box 2602 Albany, New York 12220-2602 Ilm CRT-040p(07/2004) EFTA01681857


