Puerto Rico Vital Records

Please be advised that I                                                   who resides at

the following address:

                                                          

                                                          

                                                          


give my full permission to A Birth Certfificate.net to obtain my birth certificate for me.

If you have any questions please contact me at the following numbers:

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Thank you,


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(Notary Seal)                                                              X                                                        
                                                                                                      (Notary Signature)