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    Repirblica Dorninicana

    OFICIAL~A DEL ESTADO CIVIL " An'o de la Reactivacio'n Econo'micn Nacional " 23.9 ~ l f l , , ? 'U . 3 ,fi .. . .

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    San Victor, Moca, 29 de noviembre de 2010.

    '7 1,

    Asunto

    : Dr. Servio Tulio Almanzar Botello, Director Nacional de Registro Civil.

    : Remisi6n formulario.

    Muy cortdsmente, estamos enviando el formulario anexo, segdn solicitud de fecha 1211 112010.

    Atentamente, r

    Licd k 4 . Luz Merce es ruz ' 0fibal Civil ~nterind, San Victor, (DM).

  • INVENTARIO RELATIVO A LA RESOLUCION No.12 de fecha 10 de diciembre del 2007.

    NO.

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    1

    OFlClALlA DEL ESTADO CIVIL

    NOMBRE INSCRITO (A)

    !:ESTENZCN

    TOTAL GENERAL

    PRIMERA

    UBRO

    01

    I

    C

    FOUO

    07

    IKCLTN 5CR

    ACTA

    07

    I P C

    AFJO

    2003

    ION DE SAN

    FECHA DE DECLAWCION

    12/08/2003

    NACIONAUDAD DE LA MADRE

    H A I T I A N A

    VICTOR

    NACIONAUDAD DEL PADRE

    HAITIANA

    -

    "-" ---

    DOCUMENT0 APORTAW (CMula de IdantIda ylo Chdula de ldantldad y Eledonl. Pauporta flcha. Urns< Sagum Soclal)

    PASAPORTE

    DOCUMENT0 APORTADO (Cldula de Identldad ylo CMUI~ de Idenbdad y Elestonl. Pasaporte. F lch. Carnet, Sagum SoculJ

    PASAPORTE

    - -- -


111 places san fransisco

111 places san fransisco

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