Foreign Credits, Inc.
P. O. BOX 70
Wheeling, IL 60090
American Translators Association Member
ATA Membership ID: 249794
CENTRAL BOARD OF ELECTIONS
GENERAL DIRECTORATE OF CIVIL REGISTRY
W E H E R E B Y C E R T I F Y
First: That on the <day> day of the month of <Month> of <Year> (<Date>), we have proceeded to
pronounce the divorce between <Husband Name>, and <Wife Name>, for the MUTUAL CONSENT of the
parties, fulfilling the formalities required by law.
Second: That the said divorce has been filed and submitted for inscription to the Registry created for this
purposes, corresponding the Book No. 00001 of DIVORCE records, PAGE No. <number>, Record No.
<number>, Year <Year>, in the CIVIL REGISTRY OFFICE of the 3
CIRCUMSCRIPTION of SANTIAGO DE LOS
Issued in __SANTIAGO DE LOS CABALLEROS on this day <DAY>
of the month of _<MONTH>_____________ of the year <YEAR>
[SIGNATURE] [OFICIAL SEAL]
Dr. YUDELCA ALTAGRACIA JORGE ULLOA
Civil Registry Officer
34551-01 06508888 JUANA KARINA VENTURA LOPEZ 11lOA2Al 1 3:37PM
State of Illinois }
County of Cook }
Subscribed and sworn before me
On this <Date>
Certification of Translation
I, , Project Manager, an authorized representative of the
Foreign Credits, Inc., do hereby swear to the following: to having had
translated the above document from the original Spanish text to English
which I believe to be a true, accurate and complete rendering of the original
text done by a qualified translator conversant in both languages.
Mun. O.C. Year Reg. No.