Свидетельство о разводе - перевод на английский

CERTIFICATE OF DISSOLUTION OF MARRIAGE

Marriage betweenBender
surname
Ostap Ibrahim
First name, patronymic
Russian citizen, Russian
Citizenchip and ethnicity
20 November 1896
Date of birth
Istambul
Place of birth
AndGritsatsueva
surname
Natalia Leonidovna
First name, patronymic
Russian citizen, Russian
Citizenchip and ethnicity
14 May 1884
Date of birth
Tambov
Place of birth
Was dissolved on05 May 1927 (Fifth of May, One Thousand Nine Hundred Twenty Seven)
Day, month and year and in words
By a virtue of a decision of 05 May 1927 by the magistrate, Judicial devision N2, Stargorodsky District; the Act was registered in the Dissolution of Marriage Record Book on DD MONTH YEAR file № 123
Surnames taken after dissolution of marriage:
By her:Bender
Place of registrationZAGS 3, Stargorod
This certificate is issued toBender
surname
Natalia Leonidovna
First name, patronymic
Date of issue:05 May 1927
Registrar [Signed] Razvodilova I. E.
[Official Seal] E-MT № 357648

I, the undersigned, hereby certify that this document is a true and accurate translation of the original document from Russian to English, to the best of my ability and knowledge.

Translated by: Ivan Perevodchikov
Address: 123 Docfish drive, New York, NY 11011
Tel: (212) 555-5555