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Dated Signed at California Signature Print Name Street Address Mailing Address City / Zip Daytime Phone Number For School Use Only Date Received 43466 Business Park Drive Temecula CA 92590 Student Records 951-252-8811. 5. I will promptly submit a copy of the birth certificate as soon as it is received. I understand the affidavit is only temporary until such time as the birth certificate is obtained. I declare under penalty of perjury that the foregoing is true and correct based upon my own...
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