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Both documents are certified copies of the original document on file with our office. With the exception of the legend, the documents contain the exact same information.
I declare under penalty of perjury under the laws of the State of California, that I am an authorized person, as defined in California Health and Safety Code Section 103526 (c), and am eligible to receive a certified copy of the birth, death, or marriage certificate of the following individual(s):
(If unknown, enter approximate date)
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