T. A. Mazaeva Official seal of the Civil Registry Office


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Kopytov (1)


Translated from Russian into English
/QR-code/
/The State Emblem of the Russian Federation/
CERTIFICATE OF BIRTH
This is to certify that citizen Kopytova Bajena Igorevna
was born on January 9, 2022
Place of birth: City of Moscow, Russian Federation
of which in the book of birth registration on January 19, 2022
a corresponding record was entered under No. 110229775008100026002
Parents:
Father: Kopytov Igor Sergeevich
Citizenship Russian Federation
Date of birth January 23, 1990
Nationality Russian
Mother: Kopytova Darya Andreevna
Citizenship Russian Federation
Date of birth July 15, 1990
Nationality Russian
Place of state registration: 97750081 Department of the Civil Registry Office of Moscow No. 81
Multifunctional Center for Public Services in Novokosino District

Place of issue: 97750081 Department of the Civil Registry Office of Moscow No. 81


Multifunctional Center for Public Services in Novokosino District

Date of issue January 19, 2022


Head
(Authorized person) /signature/ T.A.Mazaeva
Official seal of the Civil Registry Office:
In the big circle: /The government of Moscow * Department of the Civil Registry Office of Moscow No. 81 * Multifunctional Center for Public Services in Novokosino District/
In the small circle: /The State Emblem of the Russian Federation/

XI- МЮ No. 799197
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