Автор: Дмитрий Коропенко
ОБРАЗЕЦ ПЕРЕВОДА ВЫДЕРЖКИ ИЗ ЖУРНАЛА ЗАПИСИ АКТОВ ГРАЖДАНСКОГО СОСТОЯНИЯ, ПОДТВЕРЖДАЮЩЕЙ ФАМИЛИЮ ДО ЗАМУЖЕСТВА
UKRAINE
Extract from State Register of Civil Status of citizens confirming surname before marriage
Extract No: 74598737401
Date of forming: 15th August, 2009 10:45:03
Issued by: Civil Status Registry Office in Cherkasy
Issued in response to query of: BONDARENKO KATERYNA PETRIVNA
Application No 68/19-01-03-32 from 15th August, 2009
Application details
Civil Status registration entry number: 74598737401
An entry into the State Register of Civil status was made with the following parameters:
Registration of marriage entry
The entry was entered into the Register: 15th August, 2009 10:58:27
No 06832103582 by the State Registry
office of Civil status in Cherkasy
Civil Status Entry details:
No of entry: 1
Date of entry input: 7th January, 1977
State body which made the entry: State Registry office of Civil status in Cherkasy
Information about the Husband:
Surname before marriage registration: BONDARENKO
Surname after marriage registration: BONDARENKO
First name and patronymic: Oleksiy VADYMOVYCH
Information about the Wife:
Surname before marriage registration: PETROVA
Surname after marriage registration: BONDARENKO
First name and patronymic: KATERYNA PETRIVNA
Information about marriage dissolution:
Number of entry about marriage dissolution: 888
Date of entry input: 25th June 1991
State body of Civil Status registration: Civil Status registry office in Sosnivsky district
in Cherkasy
Registration number of the entry: 37687656787
Grounds for marriage dissolution: Decision of district court in Cherkasy dated 13th February 1988
Extract compiled by: Ivanova Anna Ivanovna
Signature: /signature/
Chief of Civil Status registry office: Chertikova Larysa Leonidivna
Signature: /signature/
Seal: Ministry of Justice of Ukraine,
Civil Status registry office in Cherkasy
Этот документ переведен с русского языка на английский мной, Коропенко Дмитрием Анатольевичем, переводчиком английского языка.
This document has been translated from Russian into English by me, Koropenko Dmytro Anatolijovych, the translator of the English language.
Signature: / / Koropenko D.A.