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Get NY VR 171 2010

T all items clearly/Por favor, imprima todos los temas con claridad) NAME OF CHILD/NOMBRE DEL NIÑO/A MALE/NIÑO LAST/APELLIDO FIRST/PRIMER NOMBRE PLACE OF BIRTH/SITIO DE NACIMIENTO MOTHER’S MAIDEN NAME/NOMBRE DE SOLTERA DE LA MADRE PURPOSE FOR OBTAINING THIS RECORD/PARA QUE NECESITA EL CERTIFICADO DATE OF BIRTH/FECHA DE NACIMIENTO FEMALE/NIÑA CERTIFICATE NUMBER/NÚMERO DEL CERTIFICADO 156 FATHER’S NAME/NOMBRE DEL PADRE DATE REQUESTED/FECHA DE PEDIDO REQUESTOR PRINT/SIGN YOUR NAME .

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