Certification by Translator
I, ___________________, certify that I am fluent in the English and Spanish languages, and the attached document is an
accurate translation of the document attached titled United Mexican States Death Certificate.
( ___________________,)
Dated 04/29/2022
[document features decorative frame with background watermark showing seal of Mexico]
Seal of Mexico has “UNITED MEXICAN STATES” and “I AM MEXICO” written on top and on the bottom, respectively.
[seal of Mexico] Electronic Identification
UNITED MEXICAN STATES (02004000920220000178)
[barcode]
Unique Code of Population Registry
(--------------------------------)
[barcode]
SSA Death Certificate Number
UNITED MEXICAN STATES (--------------------------------)
Registration Entity
(OAXACA)
DEATH CERTIFICATE Registration Municipality
(SALINA CRUZ)
Registry Book Certificate Date of
Office Number Number Filing
(9) (6) (3428) (12/11/2019)
Data of the Deceased Person
NAME OF PERSON
Name(s): First Last Name: Second Last Name:
FEMALE SINGLE 10/02/1930 (FEB 10TH 1930)
Sex: Civil Status: Date of Birth:
SALINA CRUZ, OAXACA SINGLE MEXICAN
Place of Birth: Civil Status: Nationality:
Data of the Death
10/11/2019 12:000 C. EMILIANO ZAPATA 109 COL. EJIDO MATAMOROS TRANSPORTED
Date: Time: Place: Fate of Corpse :
acute myocardial infarction, diabetes mellitus ii, systemic arterial hypertension
Cause of Death:
Marginal Notes: Certification:
No marginal notes. This certified copy is issued based on articles 35 and 44 of the
Civil Code of the State of Baja California and articles 11
sections Vl1, X1 and 12 of the Organic Law of the Civil
Registry of the State of Baja California. The Electronic
Signature you have is valid on the date of issue; It has legal
and evidentiary validity according to the legal provisions on
the matter.
ON THE (06) DAY OF THE MONTH OF
(JANUARY 2022). I ATTEST.
Electronic Signature:
[three lines of two-letter unique combinations series]
[large QR code]
[QR code]
[signature]
Verification Code General Director of the Civil Registry of Baja California
202004000981 LIC. ELIZABETH MARQUEZ SAAVEDRA
[barcode]
This certified copy of birth certificate is an extract of the certificate that is found in the archives of the corresponding office of vital statistics, which has
been issued based on the applicable legal provisions and which contents can be verified at https://cevar.registrocivil.gob.mx/eVAR/ConsultaFollo.jsp
using the Electronic Identification found in the top right corner of the certificate. To consult on mobile devices, download the mobile application to scan
the QR code.
