Form of the Divorce certificate, type 1967-1970

In form of dark blue color book on thick paper. The size of certificate is ≈ 9 cm x 13,3 cm, with the watermark in form of CCCP (USSR) inscription. On the front page is the Coat of arms of the Lithuanian SSR (Lithuanian Soviet Socialist Republic), all inscriptions are made in Russian and Lithuanian languages. The certificate contains information about husband and wife, including names before and after marriage, the date of the divorce and the location of the divorce registration. All inscriptions on the certificate form are made in Russian and Lithuanian languages. On the back side are specified: National language, Goznak (State Insignia) and the year of issue.