Image:Shortform.gif

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Size of this preview: 461 × 599 pixels
Full resolution‎ (945 × 1,228 pixels, file size: 76 KB, MIME type: image/gif)

[edit] Summary/Fair Use Rationale

This is an image created by the uploader to illustrate the appearance of a standard U.S. short form birth certificate. No such certificate is issued by the United States Federal Government government or any agency thereof.

[edit] Licensing

I, the copyright holder of this work, hereby release it into the public domain. This applies worldwide.

In case this is not legally possible,

I grant any entity the right to use this work for any purpose, without any conditions, unless such conditions are required by law.

File history

Click on a date/time to view the file as it appeared at that time.

	Date/Time	Dimensions	User	Comment
current	01:46, 10 November 2007	945×1,228 (76 KB)	Rhythmnation2004 (Talk \| contribs)	(This is an image created by myself to illustrate the appearance of a standard U.S. short form birth certificate. No such certificate is issued by the federal government or any agency thereof.)
	01:52, 25 December 2006	800×616 (117 KB)	Rhythmnation2004 (Talk \| contribs)	(Sample of a short form birth certificate, created by myself for exclusive use on Wikipedia.)
	22:12, 28 September 2006	1,871×3,193 (242 KB)	Rhythmnation2004 (Talk \| contribs)