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CERTIFICATE OF NATIONALITY --- FILE NO: 2025 – 73100

DEPARTMENT OF STATE

$6.00

This certification is valid, and expires in 30 days from today 8/4/2025.

Issued: August 1st, 2025

Expiration Date: September 1st, 2025

Certificate ID No:. 00008425-11

Agency/Department: Department of State

File No:.2025 – 73100 

Certification Cost: $5 for certification and $1 per additional page

United States of America Republic

ADDRESS: USAR VITAL STATISTICS

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