stfie Commonweaftfi of 21)assacfiusetts
DEPARTMENT OF PUBLIC HEALTH
REGISTRY OF VITAL RECORDS AND SDtTISTICS
Commonwealth of Massachusetts
Registry of Veal Records and Statistic
RECORD OF BIRTH
REGISTERED NUMBER:
STATE FILE NUMBER:
DATE ISSUED: JULY 27,2021
Karin A. Barrett
Registrar of Vital Records and Statistics
I. the above signed, hereby certify that I am the Registrar of Vital Records and Statistics;
that as such I have custody of the records of birth, marriage, and death required by law to
be kept in my office; and I do hereby certify that the above is a true copy from said record.,
IT IS ILLEGAL TO ALTER OR REPRODUCE THIS DOCUMENT IN ANY MANNER
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