DIVORCE CERTIFICATE

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This translation accurately reflects the original document. 10. 04. 2014.
Ivan Petrov, Tel. +7 (905) 459 20 65

(coat of arms of the Russian Federation)

DIVORCE CERTIFICATE

Marriage between Petrov Inav Sergeevich

Date of Birth September 15, 1982

Place of Birth Tambov

And Petrova Olga Semenovna

Nationality citizen of Russia

Date of Birth May 19, 1985

Place of Birth Tambov

terminated on August 13, 2008

(Thirteen of August of two thousand eight)

Under Authority of the judgment of dissolution of marriage by Court of

Central district of city Tambov

on August 13, 2008

entry № 56 recorded in the Registry of Divorcing

Upon divorce, the parties assumed surnames as follows:

His Petrov

State registration place Department of Registry Office
of Аdministration of city Tambov

The Certificate was issued to Petrov Inav Sergeevich

Date of Issue September 04, 2008

Head of the department of acts of civil status (signature) V. A. Ivanov

(A round stamp with the coat of arms of the Russian Federation and the following text: “Аdministration of city Tambov Tambov region. Russia. The department of acts of civil status”)

II-ТХ №9850714

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