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Petition of , who is domiciled in Parish, respectfully represents: 1. Petitioner desires to adopt the minor child known as . A certified copy of the child s birth certificate is attached to this petition as Exhibit No. 1. All information required by LSA-Ch.C. Art. 1246 is attached to this petition as Exhibit No. 2. 2. Petitioner was married to on the day of 20 and they are still married. is the moth.

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