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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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Department of Vital Statistics
1499 MLK DR, STE 64102
PROVINCE INDIANA, [46401]
