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Central Electoral Board
national address register of civil status
unextended birth certificate
We certify; in the Civil Registry Office of the 1st. circumscription, imbert, recorded the two of December of the year in 1955 (12.02.1955) at 03:00 pm, is in the book no.00038-d birth records, timely statement, sheet no.0347, record no.000658, 1955, pertaining to registration;
male, born in the section below, above, imbert the twenty-eighth of November of the year in 1955 (11.20.1955) at 8:00 a.m.
states: Padilla, apolinar, who is the respondent, country of Dominican Republic national identity card no.003589-039
mother: medina, Catalina, Dominican Republic country of nationality, household chores occupation, domiciled in baj. up