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По-русски

BIRTH CERTIFICATE


Selezneva

Ksenia Denisovna


born on the twelfth of April

of the year two thousand zero three


Place of birth: Moscow

Russia


the corresponding record № 581 thereof was made in the book of births this 3rd day of May in the year 2003


Father Seleznev

Denis Alekseyevich

The Russian citizen


nationality Russian


Mother Selezneva

Olga Sergeyevna


nationality Russian


Place of national registration Gagarinsky Civil Registry office

of Moscow


Date of issue May 3rd, 2003


Seal

Head of the civil registry office signature /Ulianova A. P./

Stamp


II-МЮ № 545012

По-английски

BIRTH CERTIFICATE


Selezneva

Ksenia Denisovna


born on the twelfth of April

of the year two thousand zero three


Place of birth: Moscow

Russia


the corresponding record № 581 thereof was made in the book of births this 3rd day of May in the year 2003


Father Seleznev

Denis Alekseyevich

The Russian citizen


nationality Russian


Mother Selezneva

Olga Sergeyevna


nationality Russian


Place of national registration Gagarinsky Civil Registry office

of Moscow


Date of issue May 3rd, 2003


Seal

Head of the civil registry office signature /Ulianova A. P./

Stamp


II- MU № 545012