美国宾夕法尼亚州出生医学证明

COMMONWEALTH OF PENNSYLVANIA﹒DEPARTMENT OF HEALTH VITAL RECORDS		宾夕法尼亚州﹒卫生署人口记录
CERTIFICATION OF BIRTH		出生医学证明
WARNING: IT IS ILLEGAL TO DUPLICATE THIS COPY BY PHOTOSTAT OR PHOTOGRAPH.		警告：通过直接复印或拍照方式复制此副本属于违法行为。
DATE OF BIRTH	出生日期	COUNTY OF BIRTH	出生地
NAME	姓名	FATHER’S NAME	父亲姓名
MOTHER’S MAIDEN NAME	母亲姓名	SEX	性别
FILE NO	档案号	DATE FILED	归档日期
DATE ISSUED	签发日期	Acting State Registrar	州登记员代理
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with the Vital Statistics Law of 1953, as amended.		谨证明，此文件是宾夕法尼亚州卫生署依据《1953年人口统计法》（及其修订案）正式存档的官方记录的真实副本。
THE DOCUMENT FACE CONTAINS A YELLOW BACKGROUND AND EMBOSSED SEAL.		此文件封面为黄色背景，带钢印。
THE BACK CONTAINS SPECIAL LINES WITH TEXT.		背面含特殊线条，带文字。
WARNING: THIS DOCUMENT IS PRINTED ON SECURITY WATERMARKED PAPER, DO NOT ACCEPT WITHOUT VERIFYING THE PRESENCE OF THE WATERMARK.		警告：此文件采用防伪水印纸印制。若无水印，请勿接受。