English Translation of Birth Certificate

                                                                                                                                    No. 000000

United States of Mexico

Department of the Distrito Federal

In the name of the Mexican Republic and as an Official of the Civil Registry of this place, I truthfully certify that in the book  0    of the Civil Registry that is my charge, on page  0   there can be found a Certificate of the following:

Birth Certificate

Page

Book

Certificate No.

0

0

0

Place of Registration:

Distrito Federal (D.F.), Mexico

Date of Record:

  September 22, 1901

Name of Child:

Jane                                       Doe

First Name                                           Last Name

Date of Birth:

August 28, 1901

Sex:

Female

Registered As:

Live

Hour:

05:45

Place of Birth:

Distrito Federal (D.F.), Mexico

Parent Information

               

Father:

John                               Doe

Nationality:

Mexican

First Name                             Last Name

Age:

26

Mother:

Janette                              Doe

Nationality:

Mexican

First Name                              Last Name

Age:

23

             

Paternal Grandparents:

Father

Jesus                             Doe

Mother

Emilia                            Doe

I ,________________________ , attest to my competency to translate from Spanish to English and certify that this is a correct English translation of all pertinent information from the Spanish original.

Sinature:

Date: