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Member Name:

JMRoots2007

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Serpukhov Maternity Hospital. Mother's Information: Full Name: Lvova Kristina Victorovna Date of Birth: May 20‚ 1986 Registered Address: Moscow Region‚ Serpukhov‚ Krasniy Tekstilshik Street‚ Building 14‚ Apartment 27 Birth of Child: She gave birth to a baby girl on December 13‚ 2007 Abandonment: On December 14‚ 2007‚ she left the hospital without giving written consent for adoption or leaving a statement to place the child into state care. Signatures & Signees Doctor in charge: Savmuseva V.L. Head of Delivery Unit: Tolmasov S.N. Head of Newly-Born Unit: Aksishina Chief Doctor of the Hospital: Poimanov S.I. Official Blue Stamp: "True Copy" signed by the Head of the Department for Orphans and Children Left Without Parental Care‚ Marchenko V.P.

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