FOR THE CLAIM OF THE LIVE-LIFE IS WITHTHE KNOWLEDGE OF THIS CLAIMANT.

~1 ~2 - $1-U.-S.-STAMP [ONE IN THE FRONT ON THE UPPER-RIGHT-HAND-CORNER AND ONE ON THE BACK ON THE UPPER-RIGHT-HAND-CORNER]

~2 :AUTOGRAPH-ACROSS-BOTH-STAMPS

~3 :TITLE~4: SECTION~1~3: FLAG

~4 :PICTURE OF THE CITIZEN

~5 :FINGER-PRINT

~6 :DROP OF THE BLOOD

~7 ~2: WITNESSES AND PARTY IN THE TRUTH WITH THE AUTOGRAPH

~8 :REGISTERED-MAIL-NUMBER [SEND: CLAIM OF THE LIFE REGISTERED-MAIL FOR YOURSELF. TAKE THE REGISTERED-MAIL-NUMBER AND PUT IT ON THE CLAIM OF THE LIFE.]

~9 FOR THE STATEMENT ON THE CLAIM OF THE LIFE:

FOR THIS CLAIM OF THE LIFE THIS CLAIM IS WITH THIS KNOWLEDGE OF THIS CLAIMANT.

FOR THE FLAG: CONTRACT-STATES-CORPORATION-VESSEL.Copyclaim-~25-~August-~1989 $1.00 U.S. Stamp

~1 FOR THIS WITNESS'S-KNOWLEDGE OF THESE FACTS WITH THESE CLAIMS OF THIS LIVE-LIFEBIRTH/NATIVITY: ________________________ [YOUR-NAME] ________________________ ON THIS BIRTHDATE OF THE DAY ~__ ?IN THE ~MONTH OF THE ~JANUARY IN THE ~YEAR OF THE ~ ________________________ WITH THE TIME OF THE :________:________:A.M/P.M.

~2 FOR THESE WITNESS'S-KNOWLEDGE OF THIS LIFE ARE WITH THESE CLAIMS OF THIS LIVE-LIFEBIRTH/NATIVITY IN THE CITY OF THE ________________________ IN THE STATE OF THE ________________________ IN THESE UNITY-STATES OF OUR WORLD WITH THESE PARENT-PARTIES: MOTHER: ________________________ AND FATHER: ________________________ BY THEIR UNITY.

~3 FOR THESE WITNESSES OF THESE LIFE-CLAIMS ARE WITH THESE CLAIMS OF THIS KNOWLEDGE OF THIS LIVE-LIFEBIRTH WITH THE AUTHORIZATION OF THESE (3)THREE-AUTOGRAPHS OF THESE WITNESSES: ________________________ [WITNESS-ONE] ________________________ , ________________________ [WITNESS-TWO] ________________________ , ________________________ [YOU] ________________________.