(Name)

and confirmed as a citizen in good standing of the City of Doorswith all the corresponding rights, privileges and responsibilitiesthereof.

Witnessed here, this ___________ day of the ___________ ofthe state of ___________ in this ___________ year FHR.

In accordance with the Sigil Municipal Code, by the authorityof the of the Hall of Records and with Her Serenitys consent,the holder of this document is hereby recognized as

(Physical Description)

(Gender & Species)

(Occupation)

(Faction)

(Place of Residence)

(Place of Birth)

(Date of Birth)

(Signature of Citizen)

(Hall of Census Records Steward)

c i t y o f d o o r s

H.C

.R. D

oc. #

(Name)

and confirmed as a citizen in good standing of the City of Doorswith all the corresponding rights, privileges and responsibilitiesthereof.

Witnessed here, this ___________ day of the ___________ ofthe state of ___________ in this ___________ year FHR.

In accordance with the Sigil Municipal Code, by the authorityof the of the Hall of Records and with Her Serenitys consent,the holder of this document is hereby recognized as

(Physical Description)

(Gender & Species)

(Occupation)

(Faction)

(Place of Residence)

(Place of Birth)

(Date of Birth)

(Signature of Citizen)

(Hall of Census Records Steward)

c i t y o f d o o r s

H.C

.R. D

oc. #