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Sample of Birth Certificate. Submitted by Dr. Howard I. A. Lieb Bruche Genser Birth certificate.
Name of person on the birth certificate First Name: Middle Name: Last Name: Place of birth City/Township: (Person MUST have been born in Calhoun County) Date of birth: (If unknown, give ...
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This is what a 'Modified Birth Certificate' looks like. This is the best some jurisdictions can do.
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