On January 24, 2024 a
Party Statement
was filed
involving a dispute between
Diane Mary Lamanna,
and
City Of Buffalo,
New York State Department Of Health,
for Special Proceedings - CPLR Article 78
in the District Court of Albany County.
Preview
INDEX NO. 900963-24
NYSCEF BOC. NO. 4 RECEIVED NYSCEF: 01/24/2024
Exhibit C
Petitioner’s Father’s Redacted New York
State Certification of Birth and
Genealogical Birth Certificate
INDEX_NO.... 900963-24
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i CERTIFICATION OF BIRTH ee
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CITY OF BUFFALO -<
ie
DIVISION OF VITAL STATISTICS
pes 4.
4
ao
Executive Department ne a
~4
a
i Oe ee +4
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Register No.
248-388 April 17, 1974 ~2
eeinerenen ies Date. Sea
CeceNY
Pe ras
THIS IS TO CERTIFY THAT. Rossolino Pollin
=i at oa lh
~< ate ¥
Sex..Male eg aie Rd sae sie Aes
sr 10a oo
ob =...
in the City of Buffalo, County of Erie, State ofwen k, os Ahawwn by birth records
daft
ee
of the City of Buffalo
cs (ALG
ee, Ae
Su oe
ae
*
istrar of Vital Statistics eee 2+
District
No: 1401 aari
aol CertificationA N° 3657 icf
et:
Filed: Dec. 8, 1911 %
FEE $2.00 3
= .ied
he! Sr en fas
a ae oe: eee |
Reed i
INDEX NO. 900963-24
F
GICAL
OSES ONLY
i “a YW Wy, CITY OF BUFFALO~BUREAU OF VITAL STATISTICS. 288
Oy
byOg 8
OF
OUNTY
NEW
OF ERIE,
YORK,
CERTIFICATE ‘AND RECORD OF BIRTH,
0
Full Name of Child! Len 04a LAID nso
If child is not yet named, make’,
easenayeer RAE croresessonscseneesanseesrenesasnesensseeosnees: supplemental report, as directed, *
tag Place of Birth Z &. &. On
a3oe hi
oe. |
ae Twin, Triplet of other? Number‘in order of birth
|
Date oF
|
$Ex OF |b
CHILD Birt
(To he answered only in event of plural births)
ee
Cotane)
Ie cgnare
FAT.
Fut, FuLL MALban
pe NaME 2OA, UO ¢ Name
won BF Bae Lor. Rustpence 4 s & ia. f, XS
Ai t CoLor
or Race les
memousce hol.
AGE AT. oat
BsRTHDAY
oe,
Years)
Coron
or Racz
BIRTHPLACE
he
Maly
Acs at Las
BIRTHDAY En hy
og
a3 occuranion of, { ) , OccuPATION hadpe- if
Bs
‘What preventive for } 4.
Ophthalmia Tale, If none, state the
} eorvvevnes petieaoclkrene- meme
bE
ey Neonatorum did you use? reason therefor
a8
Number of children born to this mother,
including, present birth 2 } Number of children of this
mother now Hving !
at
s
CERTIFICATE OF ATTENDING PHYSICIAN,
I Jeroby certify that I attended the birth of this child, who was born alive. at-.fo.cL Mate havnneenessesten M., on the date
OR: MIDW IFES
Ae
above si
(Signature) | he secssglerrl Sh Sess teonasennnensvasersseoes os D>
{ ‘When there was no attending physician or midwife,
then the party or custodian
should make
this retum.
pated SU . 19.4, cdlea: ot
Given name added from a supplemental (Pb;
TEPOTE -nenevnesevcernnenenereriernereneararenrnerensereraconL Qeonggoe
Address Oh Rah Ne he Be EE cnvscorpenet
Filed. LT mnne aponeetanesshh SfPow
Document Filed Date
January 24, 2024
Case Filing Date
January 24, 2024
Category
Special Proceedings - CPLR Article 78
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Preview
INDEX NO. 900963-24 NYSCEF BOC. NO. 4 RECEIVED NYSCEF: 01/24/2024 Exhibit C Petitioner’s Father’s Redacted New York State Certification of Birth and Genealogical Birth Certificate INDEX_NO.... 900963-24 [LED : .AL BAN as Gl UNTY -CLER HW 2h Hebe tO E © et Pe ama SCEF DOC. NO. 4 am ba V& Thy NS ca 8 te The RECEIVED DWSeERs “0 2 24 7 o-4 i tet «ee £1 Py is SD 73: B. 4 pe DA TY & ae ’ 4 ~ tok! oes ve vt ~~ += yee wy ~ Se 7 em < Cie he Sra a BS Bets ay ne oe 7% ae a LA saat .- fi ete AEA Gites iS or rhe She Bas Ss jibes > Les il, Bhs ne ae: ip et Ao ee epee. 2 7? Loi, Shes ms se 7 Tas, a ie SEro ee eign! Xs ce ee : 7 ty eae e A Pee » Bae Z Woe a * Sa ¢ ee H-810 BT 7s i CERTIFICATION OF BIRTH ee Lote. 4% “Se 7H CITY OF BUFFALO -< ie DIVISION OF VITAL STATISTICS pes 4. 4 ao Executive Department ne a ~4 a i Oe ee +4 , ee Register No. 248-388 April 17, 1974 ~2 eeinerenen ies Date. Sea CeceNY Pe ras THIS IS TO CERTIFY THAT. Rossolino Pollin =i at oa lh ~< ate ¥ Sex..Male eg aie Rd sae sie Aes sr 10a oo ob =... in the City of Buffalo, County of Erie, State ofwen k, os Ahawwn by birth records daft ee of the City of Buffalo cs (ALG ee, Ae Su oe ae * istrar of Vital Statistics eee 2+ District No: 1401 aari aol CertificationA N° 3657 icf et: Filed: Dec. 8, 1911 % FEE $2.00 3 = .ied he! Sr en fas a ae oe: eee | Reed i INDEX NO. 900963-24 F GICAL OSES ONLY i “a YW Wy, CITY OF BUFFALO~BUREAU OF VITAL STATISTICS. 288 Oy byOg 8 OF OUNTY NEW OF ERIE, YORK, CERTIFICATE ‘AND RECORD OF BIRTH, 0 Full Name of Child! Len 04a LAID nso If child is not yet named, make’, easenayeer RAE croresessonscseneesanseesrenesasnesensseeosnees: supplemental report, as directed, * tag Place of Birth Z &. &. On a3oe hi oe. | ae Twin, Triplet of other? Number‘in order of birth | Date oF | $Ex OF |b CHILD Birt (To he answered only in event of plural births) ee Cotane) Ie cgnare FAT. Fut, FuLL MALban pe NaME 2OA, UO ¢ Name won BF Bae Lor. Rustpence 4 s & ia. f, XS Ai t CoLor or Race les memousce hol. AGE AT. oat BsRTHDAY oe, Years) Coron or Racz BIRTHPLACE he Maly Acs at Las BIRTHDAY En hy og a3 occuranion of, { ) , OccuPATION hadpe- if Bs ‘What preventive for } 4. Ophthalmia Tale, If none, state the } eorvvevnes petieaoclkrene- meme bE ey Neonatorum did you use? reason therefor a8 Number of children born to this mother, including, present birth 2 } Number of children of this mother now Hving ! at s CERTIFICATE OF ATTENDING PHYSICIAN, I Jeroby certify that I attended the birth of this child, who was born alive. at-.fo.cL Mate havnneenessesten M., on the date OR: MIDW IFES Ae above si (Signature) | he secssglerrl Sh Sess teonasennnensvasersseoes os D> { ‘When there was no attending physician or midwife, then the party or custodian should make this retum. pated SU . 19.4, cdlea: ot Given name added from a supplemental (Pb; TEPOTE -nenevnesevcernnenenereriernereneararenrnerensereraconL Qeonggoe Address Oh Rah Ne he Be EE cnvscorpenet Filed. LT mnne aponeetanesshh SfPow