[Logo of RENIEC] REPUBLIC OF PERU [Peruvian coat of arms] [Bar code]

NATIONAL REGISTER OF IDENTIFICATION AND CIVIL STATUS

MARRIAGE CERTIFICATE

Groom
First name Middle name Maiden/Birth surname Current Last name
Nestor Leonardo Salas Perez
Age at last birthday Birth place County District
27 Ancash Recuay Marca
Civil Status ID Nationality
Single 1109845 Peruvian
Bride
First name Middle name Maiden/ birth surname Current Last name
Natividad Liliana Rojas Jaramillo
Age at last birthday Birth place County District
30 Ancash Corongo Corongo
Civil Status ID: Nationality:
Widow 23329768 Peruvian
Ceremony section
According to file N° 16-2006 which certify that the above-named persons complied with the
marriage laws.
The above-named persons were married on: Where married: County: District:
02/14/2006 Ancash Aja Aja
Name of person performing ceremony Title of person performing ceremony
Pablo Gabriel Jimenez Padilla Mayor
Signature of Type or clearly print Age at last Nationality ID
witness to name of witness birthday Peruvian 022324
ceremony Anselmo Acosta Mejia 34

Signature of Type or clearly print Age at last Nationality ID

witness to name of witness birthday Peruvian 00032166
ceremony Juana Mariella Vasquez 64
Guerra
Registrar’s or Municipal clerk’s signature Date filed
Justina Castro Ojeda 02/06/2006

Remarks:

[Groom’s [Bride’s [Registrar’s

[Fingerprint] [Fingerprint]
signature] signature] stamp and
signature]
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