Birth Record Baby---Pdf to write in entries
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Transcript of Birth Record Baby---Pdf to write in entries
8/6/2019 Birth Record Baby---Pdf to write in entries
http://slidepdf.com/reader/full/birth-record-baby-pdf-to-write-in-entries 1/1
Moorish Science Temple of AmericaRecord of Live Birth
Let it be known by all men that at __________A.M./ P.M. on
_______________________of the Hijiri Calendar, corresponding to
_______________________of the Gregorian Calendar, occurred the live birth /
nativity of _______________________________________, a male/ female child, at ______________________[City], in the territory and/or adjoining island of
______________________ in Al Moroc/ Amexum (America).
WHEREFORE the below signed witnesses do attest to and verify all claim to this live
birth/ nativity by these parent-parties:
Mother:__________________________________ and
Father: __________________________________ by their union.
____________________ ____________________
Child’s left foot print Child’s right foot print
Seal
Witness 1:______________________________________
Witness 2:______________________________________
Witness 3:______________________________________