lcr (birth certificate of ramil sacasan jr.)

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LCR sample (practice court)

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Civil Registry Form No. 1A(Birth-available)

Republic of the PhilippinesOFFICE OF THE CIVIL REGISTRARMunicipality of VallehermosoProvince of Negros OrientalRepublic of the Philippines

November 21, 2015

TO WHOM IT MAY CONCERN:

We certify that, among others, the following facts of birth appear in our Register of Births on page 90 of book number 84.

Registry number:1996-1581Date of Registration:August 5, 1996Name of Child:RAMIL SACASAN JR.Sex:MaleDate of Birth:August 30, 1997Place of Birth:Vallehermoso District Hospital, VallhermosoName of Mother:LILIBETH GUTANG YGAYCitizenship of Mother:FilipinoName of Father:RAMIL CATUBIG SACASANCitizenship of Father:FilipinoDate of marriage of parents:n/aPlace of marriage or parents:n/a

This certification is issued to RAMIL C. SACASAN upon his/her request for whatever legal purpose it may serve him/her best.

RUPERTA G. BAGUASANMunicipal Civil Registrar

Verified by:

ERLINDA R. DAGANATODocumentary stampRECORDS OFFICER I

Amount paid:150.00O.R. Number:2076454Date paid:11/21/2015

Note:A mark, erasures or alteration of any entry invalidates this certification.