d as State Registrar of Vital Records and the Seal of the opartment of Health and Senior Services this date of JUL 14 2021 IAD 530-1241 (2-2020) JUTACT,L", IC NT Of MICIAL WHAMS IVISION OF HEALTH CERTIFICATE E BIRTH T NO csi Lo -NAY( et. S HOSINT•L-PIMICIIPHisT Anus; rre sons ATI / mini