EFTA00257872.pdf
dataset_9 pdf 1.1 MB • Feb 3, 2026 • 9 pages
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EFTA00257872
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DIVISION •I-OPAYRWTHi!et'cPn
PARTMENT OF HEALTH
CERTIFICATE OF LIVE BIRTH
FIRST 4 . MIDDLE F LAST 4'
11SEX" NALE FEMALE 3A IS THIS Beth.
2.. 3B. IF NOT SINGLE BIRTH 4A. DATE OPINFITH 18. /I UR
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SA MIDDLE E SC. STATE OF BIRTH ' 60 SOCIAL SECURITY NO
USA)
LAtkiDIN
NMIE
7A, RESIDENCE STATE 78 COUNTY 70. IF CITY OR WAGES RESIDENCE WITHIN CITY OR VILLAGE LIMITS?
MI
7E STREET AND NUMBER OF RESIDENCE
1 O IF NO, SPECIFY TOWN
ZIP CODE
.Is
8 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) ZIP CODE '
FA MIST MIDDLE • LAST St AGE SC. STATE OF BIRTH SO. SOCIAL SECURITY NO.
• IF NOT USA)
NAM!
I0A MS LAST 108. RELATION TO PITIANT •
OF MC
OF motttet • .
Z.:FORMANT
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NAME'
FIRST MIDDLE LAST
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IMO TITLE
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:MI FE OTb4ER
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12. AILING AGGRESS I ZIP
ISA. &wi n THAT HE STA INFORNATION CONCERNING THIS 1311 DATE SIGNED 14. NAME OF ATTENDANT F OTHER THAN CERTIFIER
CHID s MONTH I DAY YEAR
SIGNATURE TITLE
C ISA. MOHAN/ s5C. INFORmA ION ADDED OR AMENDED ' 160. DAYS
MONTH! DAY I YEAR MONTH DAY YEAR
BY REASOPI
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la
For Government Use Only
District
2951 This is to certify that this is a pug. and correct copy of the original Certificate of Birth on file in the
Office of the Registrar', ThitittNorth Hempstead, County of Nassau, State of New York.
Signature : Date OCT 0 5 2021
.Registrar of Vail StatisticS
N.B. Do not accept this copy unless the raisedseal ofMe Town ofNorth Hempstead is thereon affixed.
No.
VS Form TNH SR 7
/2000MS tc/rvs
EFTA00257873
VERIFY PRESENCE OF WATERMARK HOLD TO LIGHT TO VIEW
tfie Commonweaft6
DEPARTMENT OF
of 210assac6usetts R
PUBLIC HEALTH
REGISTRY OF VITAL RECORDS AND STATISTICS
Commonwealth of Massachusetts
Registry of Vital Records and Statistic 111111ii 110
RECORD OF BIRTH
REGISTERED NUMBER:
STATE FILE NUMBER:
L
NAME:
SEX: FEMALE PLURALITY: -SINGLE
DATE OF BIRTH: . TIME
PLACE OF BIRTH: GREENFIELD, MASSACHUSETTS
NAME:
SURNAME AT BIRTH OR ADOPTION:
BIRTHPLACE: ATHOL,. MASS AUKS ET TS
AGE OR DATE OF BIRTH: -.
PARENT
NAME:
SURNAME AT BIRTH OR ADOPTION: -
BIRTHPLACE: MONTAGUE, MASSACHUSETTS
AGE OR DATE OF BIM: • -
AT-BIRTH RESIDENCE: ATHOL, MASSACHUS Eris
DATE OF RECORD:
DATE ISSUED: JULY 27,2021
Registrar of nod Statistics
1, the above signed, hereby certify that I am the Registrar of Vital Records and Statistics;
that as such I have custody of the records of birth, marriage, and death required by law to
be kept in my office; and I do hereby certify that the above is a true copy from said records.
IT IS ILLEGAL TO ALTER OR REPRODUCE THIS DOCUMENT IN ANY MANNER
EFTA00257874
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EFTA00257875
C
WINO) 00 II th.1
SACRAMENTO COUNTY
SACRAMENTO, CALIFORNIA
ti
CERTIFICATE OF.LIVE BIRTH
ETATI QOM GaTIFICATI AMIN -STATE OF CALIFORNIA AgcsrMATION 0/groGT AMT GoinirGA/g mmOOt
IA. NAME OP C101.11—POST I No AROMA I IG.I.AST
THIS . 'a : Mlle ,
CMILD ZIA. TIPP *MTN SINFUL Iwo) so. ip Lutg ic Maw .. M. OAllt OP BIRTH- . IRO. OUR-424 14Oull GLOM MOO
ETC. 1
Female Single I ,i
PA. FLAGG OP BIRTH-NAND OF NOMITAL OR PAGIUTT . OM LOGATIOL)
1
PLACE i mme. lillittemir
MATH I
Sacramento 1 Sacramento
FATHER 6A. HAW OP POGII/LOTL.LARST SR, WOOLS ilIC. LAST T. STATE OF 131112TLI IL AGE OF PAMPER
OF
CARLO
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moThip Om OF MOTIOR....poso 9B. 190. LAST woo NAYN 10 Si ATE OF WRIT 11. OF mOTWOR
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CHICO n I
miAT / IdAvil .11lvagw<0 Ira I OTHER IN/ UPS O. am. f ro Cow) 12C. MINH/
ARENT'S
CeRTIFI. notaemaTteN 1.110 THAT Yr 0
TRUEAND ailtiliGT TOME an OF MY
CATION oieVollOgS ..q -; Ri tter -
i so. ucgrag Lomem 13C. Can loCregO
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IS. CICATH--ampla DLit or D[.TN NS. CAL ReGiSTRAR.....a1COM 1? PATE ACCEPTED ros atorrafriON
LOCAL
REGISTRAR
CERTIFIED COPY OF VITAL RECORD
STATE OF CALIFORNIA. COUNTY OF SACRAMENTO
This is a true and exact reproduction of the document officially registered
and placed on Ida in the office of the Sacramento County Clerk/Recorder.
DATE ISSUED:
0CT 0 6 2021
TIL/ copy IL tog only propel*" on an gr.o/wef Lmler EtEplarj, ihe ONE. EPP! Wa orelf • & the Gmegyflegt/ReCteddr
_
EFTA00257876
Registry of Vital Records and Statistics
150 Mount Vernon Street
Dorchester, MA 02125
Order Number: 89435
Total Amount: 50
Order Source: mail
Receipt Date: August 03, 2021
US ATTORNEYS OFFICE
SOUTHERN DISTRICT OF NY
ONE ST. ANDREWS PLAZA
NEW YORK, NY 10007
ORDER SUMMARY
Requested:
Service Type Copies Certificate Holder(s)
Provided:
Service Type Copies
Birth Certificate Certified Copy- No Fee 1
If you have any questions about how to make a correction to a certificate, please visit our
website at www.mass.gov/dph/rvrs for more details.
EFTA00257877
FD-340c(4-1,1-03)
File Number \\1\1--- \-- \ R ai-\\
FTeIdOfficeAcquiring Evidence
Serial of Originating D ent \
Date Received 1L\ cD.ipta,1
Fr° eatCantaneorantr.reteera)
By
'11) Be Returned Yes No
Receipt Given 0 Yes No
Grand Jury Material - Disseminate Ordy Pursuant to Rule 6 (e)
Federal Rules of Criminal Procedure
0 yes N°
Federallimpayerinformadon (FTI)
0 yes N°
Tdle:
Reference:
(ComanmicationEnclosingMateriab
Description: 0 Orildnal notes re ioterdew of
EFTA00257878
GOVERNMENT
EXHIBIT
THIS IS A CERTIFIED COPY OF AN ORIGINAL DOCUMENT
(Do not accept if reproduced, or if seal impntssico cannot be let)
THE REPRODUCTION OF THIS DOCUMENT IS PROHIBITED BY LAW 04C.193245,193.255. & 193-315. RSMO 2004.)
Ma } n I HEREBY CERTIFY that this Is an exact reproduction of the certificate for the person named
as It now appears in the permanent records of the Bureau of Vital Records of the ailment of Health and
Senior Services. Witneco my hand 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) Slain 14eS,srar VS-8048
NT Of MICIAL WHAMS IVISION OF HEALTH
CERTIFICATE E BIRTH 124
FILED JUTACT,L",
ICT NO mini CNSTAIC1IC. AE4StRaS
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EFTA00257879
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EFTA00257880
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Document Metadata
- Document ID
- 40463203-d16a-406b-84fa-6dbb1a7a3f6c
- Storage Key
- dataset_9/EFTA00257872.pdf
- Content Hash
- 3b7a5e37a1f30b56419df4b6a7a3a38d
- Created
- Feb 3, 2026