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http://www.omnitrace.com/Birth-Family.html
Submitted By:  
Origionally Added:  Apr 20, 2004
Last Updated:  11:36am Fri, May 13th, 2005
   Highlights of the Adoption Record -- the Adoptee
Birthplace:  New York
Birthdate:  December 31, 0000
Gender:  Female
Agency:  xxx
Hospital:  xxx
Adoptee's Birthname:  h h
Adoptee's Name:  
Birthmother's Name:  h h
Birthfather's Name:  xx xx
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        Birth & Adoption Details        
Adoptee's Birthdate:  December 31, 0000
Birthplace:  xxx,
  New York, USA
Adoptee's Gender:  Female
Multiple Birth:  Quadruplets
BirthMother's Age:  60
Attorney/Agency  xxx
Adoption Date:  NA
Adoption Location:  New York, USA
Maternity Home:  
Orphanage:  
Hospital:   xxx
Doctor:  
local Cert:  
Fedral Cert:  
Caseworker:  
Case Number:  
Judge:  
Decree Date:   NA

Adoptee
Birth First Name h
Birth Middle Name h
Birth Lastname h
Birth Date Feb 17, 0000
Birth Place New York
Gender male
Hair Color brown
Eye Color brown
Handicap none
Handicap none
Birthmother
First Name h
Last Name h
Birth Date Jul 22, 1955
Handicap none
Handicap none
Race White:Balkan:
Married at Birth no
Married at Adoption no
Age at Birth 23
Age at Adoption 23
Occupation x
Married no
Birthfather
First Name xx
Last Name xx
Birth Date NA
Handicap none
Handicap none
Race Other:
Married at Birth no
Married at Adoption no
Age at Birth 59

http://www.omnitrace.com/birth-family.html