Puerto Rico Vital Records

Please be advised that I                                                   am needing my birth certificate

in a rush for the following reason:

                                                                                                                                                      

                                                                                                                                                      

                                                                                                                                                      

                                                                                                                                                      

                                                                                                                                                      

                                                                                                                                                      

                                                                                                                                                      

                                                                                                                                                      

                                                                                                                                                      

Thank you for your assistance in this matter.

Sincerely,


X                                                             Date:          /         /


(Notary Seal)                                                              X                                                        
                                                                                                      (Notary Signature)