0417_360AI. PLr:.:EOFBIRTH ^' TEXAS DEPARTMENT OF HEALTH
STATEOFTF-xAs_ BUREAU OF VITAL STATISTIC ILlE
CERTIFfCATE OF BIRT14
Jackson -3, J . h,Wk
Q COUNTY OF !I+lK�' /'a4r, !
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CITY OR ? C IICt 3 G__���_`
PRECINCT NO.
<, 131VE STREET AND NUI SOA G NARY OF )40'r)=J71iJH
Gilberto Florensio Ramirez
2. FULL NAME OF C141L
a !. SEX FOR PLURAL DI:LTHZ t?NLY+ � d. LEGITIMATE? 17. DATE OF GIRTii
I IN ORD A.TWIN, f 14. NUMBER, _
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_► I OT - OF BIRTH
FATHER
B. FULL-- 93. FULt..
Z 14AME Leon Ramirez � MAID LN T 3 9 RESIDENCE
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THIS BIRTH �_- Y ` _ - - - �; -
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A.F I DMA N i T..__A
CO STATE OF TEXAS
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13EFORE ME. ON ','HIS C.A''-
KNOL>{N TO ttt? TO F3F T'HE pEr:Sl_l ? 4Yi,(O. SIGNED '"H+= G::R,'F1r,'AT-.'i`;ie'; iF*.� tii RirT0. 441aJ ON
i� OATH DEFOS`ES AND S T;-1AT ' Hk FACTS STAT)` C) 4N THE t )i ;O) :'"G 6IRTPI C�F� 7'ih"tCX+TE CiP
AFd�' 'Yi2iir: r`,Yd:.} ti:: )PS+EG"i TO TH'- ? LST OF
C(NAY1I AP.'E:Akt Nti ON CKRTIrICATC.)
KNOWLEDGE AND E•,:LIEF. AND THAI'Y:3u 1:; ,;t. .'E �•�,. �:-i ti, A -;THE `T'; P.l t.i
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`H 1S J�NOWLEDGE AND BELIEF. ✓ ND THAT SiiF' IS ACG;e.s,^.:e, '" �': ✓'� t Ttiti i -.r �'� AND'Ciri:if It�E IS NOT
FFI LATECr TO THE 11,1DIVIDUAL UY ELCOD OR MARRIAGE.
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swO'2N TO ;.ND SUU;Si(; ED BEFORE ME. THIS_-{ � � ,/-r�- it "�� t�!�i✓
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H ATTACHED H£P-ETO, WAZ SUUMITTED TO THIS COURT, AS PROYIDCD rOC ? i;,' H. 0. �+i:7. �3Sr3, ��iil'1? ? 5'd., ri, U. 7'�`::.`.
B r4•Y THE STAT: REC-A 7R.Ikn FC.•Yl 1'1!_id7C.. It! '('I((i SIAT9i
3T 16 THE c:Rd3�H OF THIS COURT THAT THIS RF�ORD sb
BUREAU OTrt V11AL STATIB-TICS. / " _ ✓
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DATE—�.��}.�' y�i...— �...�.�.._.�.._. �"-` .. _......_�.__.._._..s�.
STATE JF TEXA
COUNTY OF JACKSON
I HEREBY CERTIFY that the above certificate is a true and accur t�=
copy of the Record of Birth of _ ert�� FFll prr�nsi�Rai,re.z__.J�_
filed in my office and is of record on Page ) Vol.
Probate Records of Birth of Jackson County, Texas.
Witness My Hand and Seal of Office this _12_ day o.:
/�
- - WA:YN PiIYERS CU?lt�T
By LAO,_ � �l�p�— Deputy Ja(.,4!io County, ''-'F�s::�s
St,0 Mavroa9e 12ccocfh 3
of I Ca,16-1D'u'1 evmvd1i® ,