You would see the embossing from the back...that lady is BSing... in a previous life her name was Rose Mary Woods!
What do you expect her to do?
HI is a Democrat stronghold.
Most likely all the people at the DOH are Democrats.
In Illinois....we elect our public officals to take care of our birth certificates in our county.
If she knew the truth...the guys with black bow ties will be at her door.