Javier Espinoza 8 Hayes St San Rafael, CA 94901 February 01, 2012 Brian Lucq The James Smith Office

100 3rd St San Rafael, CA 94901 Re: Request for Birth Certificate To Whom It May Concern: Please forward to my attention 3 certified copies of the birth certificate for the following person: - Full name: Javier Espinoza - Sex: Male To assist in locating and providing the requested certificates, I am including the following information: Father's full name: Jose Espinoza Mother's full name: Alicia Espinoza Mother's maiden name: Garcia Date of birth: February 06, 1991 Place of birth: - Hospital or Location: Marin Hospitial - City: San Rafael - County: Marin - State: California I am the person whose record is being requested. This certificate is being requested to use in a family scrapbook Enclosed is my certified check in the amount of $100.00 as payment for the requested certificates. Please contact me at the above address if you have any questions or need additional information. You may also contact me by e-mail at Javier_espinoza@redlands.edu.

This is a RocketLawyer.com Legal Document

Thank you for your prompt attention to this matter. Sincerely,

Javier Espinoza

This is a RocketLawyer.com Legal Document