United States of Mexico Civil Registry Birth Certicate In the name of the free and sovereign state of Nuevo Leon, and as Director-General of the Civil Registry of the State, I certify that in Book No !! "olume # of the General $rchive of the Civil Registry on %age No !!!!, a record reading No !!!! can &e found containing the information that follo's, dated ()onth* !!, #+!!, &rought forth &y Civil Registry Clerk !!, esus Navarro Navarro e.ada, resident resident of )onterrey )onterrey,, Nuevo Leon, Leon, /nited States States of )e0ico )e0ico
Registrant’s Information Name: 1IRS )IDDL2 3$2RN$L )$2RN$L Time: !!4!! ate of Birth: )onth !, #+!! !res !resen entt at Birt Birth: h: Both 3arents Born: $live Sex: )ale Certicate N"m#er: !!!!! !lace of Birth: )onterrey, Nuevo Leon, /nited States of )e0ico Registration and !ersonal Identity Code $CRI!%: !!-!!!-!!-!!!!!!!-! Individ"al Identication N"m#er $CUR!%: LLLL!!!!!!LLLLLL!! !arents’ Information Name: Dad5s 1IRS )IDDL2 3$2RN$L )$2RN$L Nationality: )e0ican
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Name: )om5s 1IRS )IDDL2 3$2RN$L )$2RN$L Nationality: )e0ican 'rand(arents’ Information Name: Grand%a5s 1IRS )IDDL2 3$2RN$L )$2RN$L )e0ican Name: Grandma5s 1IRS )IDDL2 3$2RN$L )$2RN$L )e0ican Name: Grand%a5s 1IRS )IDDL2 3$2RN$L )$2RN$L )e0ican Name: Grandma5s 1IRS )IDDL2 3$2RN$L )$2RN$L )e0ican )itness’ Information Name: 1IRS )IDDL2 3$2RN$L )$2RN$L Nationality: )e0ican Name: 1IRS )IDDL2 3$2RN$L )$2RN$L Nationality: )e0ican
Name: N6$ Nationality: N6$
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Nationality: Nationality:
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Unrelated !erson !resenting the Registrant &ge: N6$
!ayment !ayment Information: )onterrey, NL to Directorate, 1e&ruary 7, 899: !re(ared #y: Genoveva Briones Birth Certi;cates Total: <8+
(====>2N?-NIN2 and 996#99 )2!IC$N 32S@S====* his Certi;cation has &een issued in com%liance 'ith $rticle A7 of the current State Civil Code in the city of )onterrey, Ca%ital of the state of NuevoLeon on the 7 th day of the month of 1e&ruary, 899: I here&y attest By the e0ecutive %o'er of the State, this document is signed &y the Chief of Control and Statistics of the Directorate of the Civil Registry, C3 ose aime Delgado $leman Director of the Civil Registry Ben.amin )ario )endoa Gara
I, L@SG/2RR$, certify that I am uent in the S%anish and 2nglish languages and here&y certify that the a&ove information is a true, com%lete and accurate translation of the attached original document entitled $cta de Nacimiento
uly E9, 899F )y Name )y street address City, S I3
