Form Dhcs 0004 - California Request For California Birth Record (Armenian) - Health And Human Services Agency

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State of California – Health and Human Services Agency
Department of Health Care Services
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(ºÃ» ·Çï»ù).
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ѳٳñ Ó»ñ ù³Õ³ù³óÇáõÃÛáõÝÁ:
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Ý»ñϳ۳óÝ»É ³Ûë
ï»Õ»ÏáõÃÛáõÝÁ: ´³Ûó »Ã»
Øáñ ³ÕçÏ³Ï³Ý ³ÝáõÝÁ.
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ã³Ý»ù, ù³áõÝÃÇÝ Ï³ñáÕ ¿
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Ðáñ ³ÝáõÝÁ.
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ѳÛñ³ÝáõÝ.
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ÌÝÝ¹Û³Ý íϳ۳ϳÝÇ ÃÇíÁ
(ºÃ» ·Çï»ù).
ºÃ» ¹áõù ϳñÇù áõÝ»ù »ñÏáõ ÍÝÝ¹Û³Ý íϳ۳ϳÝÇ, Éñ³óñ»ù ÙÇ áõñÇßÁ »õë:
DHCS 0004 (06/07) – Armenian
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