SDNY_GM_02760679 stfie Commonweaftfi of 21)assacfiusetts DEPARTMENT OF PUBLIC HEALTH
SDNY_GM_02760679 stfie Commonweaftfi of 21)assacfiusetts DEPARTMENT OF PUBLIC HEALTH
REGISTRY OF VITAL RECORDS AND SDtTISTICS
Commonwealth of Massachusetts
Registry of Veal Records and Statistic
RECORD OF BIRTH
REGISTERED NUMBER:
STATE FILE NUMBER:
DATE ISSUED: JULY 27,2021
Karin A. Barrett
Registrar of Vital Records and Statistics
I. the above signed, hereby certify that I am the Registrar of Vital Records and Statistics;
that as such I have custody of the records of birth, marriage, and death required by law to
be kept in my office; and I do hereby certify that the above is a true copy from said record.,
IT IS ILLEGAL TO ALTER OR REPRODUCE THIS DOCUMENT IN ANY MANNER
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00247601
EFTA01331563
A
S
U 3
3
H
WARN NG S
U a
H 0
O S
H
A
1
3
H H
HITS COCUUEN PAINTED CN SECURITY W ERMARKED AVER AND COWART CUP
DO NW ACCEPT vRTHOUT ERICYnG THE PRESENCE Or TYE W TERIalt
CZAlo*
THE DOCUMENT ACE CONTAINS A SECURITY BACXGROUTI0 AHD BAROSSED SEAL. T E RAC CORM
S✓EAAL UIES WITH TEXT A
S a
H
S
3
H
S 3
SDNY_GM_02760680
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 3
H
EFTA 00247602
EFTA01331564