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TammyBorchert

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Amended Birth Certificate Info: State Birth Certificate Number: 104-77-096946 Local Registration District: 0190 Certificate Number: 032415 Date Accepted for Registation: 4/27/1977 Adoptive Father: James Joseph Borchert‚ Jr. Age: 39 - Birth State: OH Adoptive Mother: Kathy Ann Borchert Maiden Name: Kathy Ann Garban Age: 32- Birth State: CA Name of Child: Tammy Lynn Borchert Birth Hour: 11:30 Birth Date: 4/20/1977 Sex: Female Birthweight: 4338 grams (9 lbs 9 oz) City: Long Beach County: Los Angeles Hospital: Los Altos Hospital Address: 3340 Los Coyotes Diagonal Doctor: Irving Siegel‚ M.D. Attendant Liscense Number: C 14126 Doctor Office Address: 2925 N Palo Verde Ave‚ Long Beach‚ CA 90815 Local Registrar Signature Name: Liston A. Witherill

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