(SEAL)

Department of

Public
Safety

No. ######

(SEAL)

PENALADMINISTRATIONAGENCY
Certification No.: #####/####
Monterrey, NL., [MONTH DAY, YEAR]

PHOTO

CITIZEN [NAME], HEAD OF THE OFFICE OF CLEAN CRIMINAL

RECORD CERTIFICATES FROM NUEVO LEONS STATE PENAL
ADMINISTRATION AGENCY, certifies that: After a thorough
search in this Agencys State Judicial Records, there was no
evidence that:
[FULL NAME]
has ever been convicted by writ of execution, and therefore she
has NO Criminal Record in the State of Nuevo Leon.

SEAL
PENAL ADMINISTRATION
AGENCY

This certification is hereby issued at the request of the interested

party, for all legal purposes, without any bearing as an official
identification.
THE CITIZEN IN CHARGE OF THE OFFICE OF CLEAN
CRIMINAL RECORD CERTIFICATES FROM NUEVO LEONS
STATE PENAL ADMINISTRATION AGENCY
(SIGNATURE)

LIC. [NAME]

BARCODE

Nuevo
Leon
United

A Government for All

MINIATUR
E
PHOTO