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SOCIAL SECURITY
CERTIFICATION
Pursuant to the provisions of Title 42, United States Code, Section 3505, and
the authority vested in me by 45 F.R. 47245-46, 1 hereby certify that I have legal
States Code, Section 405, and that the annexed are true and complete copies of
I also certify that the annexed computer printout showing the date the
IN WI-TLIESS WHEREOF, I have hereunto set my hand and caused the seal of the
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Division Director
Division of Earnings Record Operations
Office of Central Operations
*** REC 2010272 153133 HF773FGO H%H3 ('IT'QYAF' 1'QAF (F-B2B ) ***
SOCIAL SECURITY
CERTIFICATION
Pursuant to the provisions of Title 42, United States Code, Section 3505, and
the authority vested in me by 45 F.R. 47245-46, 1 hereby certify that I have legal
States Code, Section 405, and that the annexed are true and complete copies of
I also certify that the annexed computer printout showing the date the
custody for Social Security Number 042-68-9248 in the name of Antoinette Rosie
IN WITNESS WHEREOF, I have hereunto set my hand and caused the seal of the
Division Director
Division of Earnings Record Operations
Office of Central Operations
*** REC 201 0273. 1 5 3 I 39 lIF"/'/ t l~'l~:Ol ' , . ' l ! ! ' I l'f-)'i'/\I,' I ,I-I/\ I, ( I I* I' I ' * A
BIRTH DOB:05/30/18 ' ) 0 l ' l ~ l i : , 1 ' 1 ' l a ' c ' l : * :;la:X: L? E'I'B: 1
PARENT MNA: J U L L A I , A O
FNA: D O M I N I C I \ I J ( ; L l SSA
INTERNAL FMC:3 CYD:04/0~/197~