"This is to certify that __________________ (names of each adopting parent) have obtained a decree of adoption for __________________ (full name of adoptee and date of birth of adoptee) in the Superior Court of __________________ County, Georgia, on the __________________ day of __________________, as shown by the court's records __________________ (adoption file number).
Given under the hand and seal of said court, this the __________________ day of __________________, __________________.
__________________
Clerk "
OCGA § 19-8-20