IN THE COURT OF COMMON PLEAS OF WOOD COUNTY, OHIO PROBATE DIVISION Judge David E. Woessner In the Matter of: __________________________ Name after Adoption Case #__________________________________ Adopted Child's Date of Birth: ________________ FOREIGN ADOPTION JUDGMENT ENTRY 3107.18 At the request of the Petitioners who have adopted a child pursuant to a Certificate of Adoption issued outside the United States, pursuant to Ohio Revised Code Section 3107.18, it is ORDERED: That the Department of Health issue a foreign birth record for the adopted child. A translation of said foreign birth certificate and foreign decree or certificate of adoption certified as to its accuracy by the translator is attached. The child's name is changed to _________________________________. A Final Decree of Adoption is granted. The Adoption of _______________________________ by ________________________________________as described in the petition is recognized and approved. Date Journalized: ________________________ ____________________________________ David E. Woessner, Probate Judge 19.7E Foreign Adoption Judgment Entry 3/4/08 American LegalNet, Inc. www.FormsWorkFlow.com