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Get Birth Certificate Stockton Ca

, declare under penalty of perjury under the laws of the State of California, that I am an authorized person, as defined in California Health and Safety Code Section 103526 (c), and am eligible to receive a certified copy of the birth record of the individual identified on this application. Subscribed to this day of , 20 , at , . Day Month Year City State Applicant s Signature ----------------------------------------------.

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