Dear Registrar
Please send a certified copy of my birth certificate. As required, the fee of $30 is enclosed as part of the application, along with a stamped self-addressed envelope.
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Name on certificate: William Hayes Father's Name: Arthur Hayes Mother's Maiden Name: Mary Brown Date of Birth: March 8, 2009 Sex: Male Place of Birth: Hometown Pennsylvania Location: Community Hospital |
Thank You.
Signature: