M i r i E m b r y o D i s t r i b u t i o n
Fatherhood Denial Form
Given Name: Haim Family Name: Maor
Passport Number: 5058651 Marital Status: married+5
Gender: Male Nationality: Israel
Address: Kibbutz Givat Haim Meuhad
Profession: Artist, art lecturer, curator
Name of the new born child: /
Visual or verbal comments:
We have never had sexual-intercourse and/or I have never given my sperm for the purpose of your impregnation.
In light of paragraph 1, the fetus sent to me is not my child.
Additionally, I am attaching a manual copy of an ultrasound performed on my wife, proving that she has 2 embryos (and not 1). A test clarified that they are twin girls.
The position of the twins matches the yin-yang symbol. The parchment resembles skin or placenta.
My mother’s tongue (a sensitive phrase in your case) is Yiddish.
Date: August 1999
* מיינע מיידלעך צווילינג = My twin girls (Yiddish)
