CIVIL
REGISTRATION
JAKARTA
EXCERPT
BIRTH
CERTIFICATE
No. VIII
/1985
From GENERAL register of Civil Registration for
Indonesia Citizen about birth pursuant to the state Gazette in Jakarta, that in
Kelapa Gading Jakarta on date Seventh on August one thousand nine hundred and
eighty five was born :
---------------------------------------------------:
ANGELICA :----------------------------------------------
Son of married
couple:-----------------------------------------------------------------------------------------
BUDI HIMAWAN and ALEXANDRIA
This excerpt
conforms to the condition on this day
Jakarta, dated
twentieth of August,------------------------
one thousand
nine hundred and eighty five----------
Head of Civil
Registration Office
Jakarta
IBRAHIM, M.SI
NIP. 2300007654
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