Citizenship

[William Steiner]

Bretonian Nationality Act 781 A.S.

Certificate of Citizenship

As a Bretonian Citizen

The Secretary of State, in exercise of the powers conferred by the Bretonian Nationality Act 781 A.S. hereby grants this certificate of Citizenship to the person named below who shall be a
Bretonian Citizen

From the Date of this Certificate

Full Name: Lukas Rothstein Keller

Name at Birth if different: N/A

Date of Birth: 01/04/802 A.S

Place and Country of Birth: Planet New Berlin*

Issued on the direction of the Secretary of State
Home Office New London

Certificate No: 749422-30

Reference: BCA 22570

Date: 30/4/827 A.S.
Section: 6 (2)
Bretonian Citizen

This certificate does not certify the accuracy of the personal particulars,
which are those supplied by the person who made the application.

Any unauthorized alteration may render this certificate invalid.

*(Exemption Ref. 300310894)

Signature of Witness:

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