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Get CA VS 44 2016-2024

E OF ADOPTION - FIRST 21B. MIDDLE 21C. LAST COURT CLERK 22. SIGNATURE AND SEAL OF COURT CLERK BY: 23. CLERK IN AND FOR THE COUNTY OF: 24. DATE SIGNED MM/DD/CCYY 25. DATE PETITION FOR ADOPTION FILED MM/DD/CCYY NAME NAME AND MAILING ADRESS OF PERSON TO WHOM CERTIFIED COPY IS TO BE SENT ADDRESS Street and Number CITY, STATE, ZIP CODE STATE OF CALIFORNIA, DEPARTMENT OF PUBLIC HEALTH - VITAL RECORDS DAYTIME TELEPHONE NUMBER ( ) FORM VS 44 (Rev. 1/16) GENERAL INFORMATION The.

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