Certificate of change of name

Sharikova Olga Alexeevna,

Russian

Date of birth: 21 November 1953

Birthplace: selo Akhunbabaev,Tashlaksky rayon,Ferganskaya oblast

changed the surname, name, patronymic to

Polkova Olga Alexeevna

and about what on 2011 year January month 27 day is made a record № 13

 

The place of registration – Directorate of the City Office of Civil Registration of the city of Anapa

 

The date of issue: 27 of January 2011

 

The head of the Office of Civil Registration ______________T.N.Kolomiets