CIVIL REGISTRATION OF BIRTH SERIAL INDICATIVE 152571429
Information from the register office- type of office
X Registration’s office Code J4M
GIRARDOT REGISTRATION OFFICE – COLOMBIA- CUNDINAMARCA – GIRARDOT
Registrant data
First Last Name Second Last Name
GODOY TRIANA
Name
GLORIA
Date of Birth Sex Blood type Factor RH
Year 1952 Month January Day 14 Female A Positive
Place of Birth
COLOMBIA CUNDINAMARCA GIRARDOT
Type of Background or testimony of witnesses Live Birth Certificate Number
RELIGIOUS ACT AND CERTIFICATION OF COMPETENCE L41F310N929
Mother’s information Full last names and names
TRIANA DE GODOY MARIA SABINA
Identification Number (Class and number) Nationality
C.C 20.604.159 COLOMBIA
Father’s information Full last names and names
GODOY QUERUBIN
Identification Number (Class and number) Nationality
CC 2.345.403 COLOMBIA
Declarant’s information
GODOY TRIANA GLORIA
Identification Number ( Class and number)
CC 20.617.200
First Witness information
*************************** N/A *******************************
Second Witness information
************************* N/A *********************************
Registration date Name and signature of the authorized person
DECEMBER 2, 2015 CLARA INES GARCIA SANCHEZ - REGIS
NOTES
DECEMBER 02, 2014- Extemporaneous CIVIL REG.
Page 2
This photomechanical reproduction is a faithful copy of the original copy that rests in the archives of this
registry, it is issued to prove kinship, article 115 Decree Law 1260 of 1970. Stamp omitted according to
Art. 11 Decree 2150 of 1995.
ISSUE DATE: 01/31/2023 CLARA INES GARCIA SANCHEZ
SPECIAL CIVIL STATUS REGISTRAR
GIRARDOT ( CUNDINAMARCA)
I Erika Alicea hereby that the translation of the document is true and correct to the best of my ability,
And that I am a translator of both, English and Spanish languages.
American Translation Association ID# 273130
Signature____________________________ Date: _______________________
