M i r i E m b r y o Di s t r i b u t i o n
Adoption Form
Name: Avi Family Name: Elias
Passport No.: 5339677 Nationality: Israeli
Gender: Male Marital Status: Married+2
Telephone: 03-4164866 Address: Tel Aviv 10 Motzkin Blvd.
Name of the new born child: Mine-Embryo
Visual or verbal comments:
Ultrasound:
On the screen it circles like air bubbles
and a fine arrow, like a cirrus cloud, marks
key points in the developing organs.
With Olympic tranquility, it swims butterfly,
and at the starting line, it dives into
the depths of conciousness
26.07.99
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