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VERY good article about the Hawaiian birth certificate program:
http://art2sect1clause5.blogspot.com/2008/11/obamas-missing-link-hawaiian-birth_28.html

A very important point to note is that a “CertificATION of Live Birth” is an abbreviated version of the birth record on file with the Hawaiian Department of Health.

The root document(s), could be:
a) a true “Certificate of Live Birth”;
b) a “Late Birth Certificate” with or without modifications; or
c) a “Certificate of Hawaiian Birth.”

A “CertificATION of Live Birth” may reflect data that had been changed over time, and does not provide corroborated testimony such as dates, locations, change in paternal identification, and witnesses. Any record that amendments had been submitted and information changed is not shown on the “Certification of Live Birth,” which is laser printed on special green stock paper, and lacks detailed information that would be expected from a true “Certificate of Hawaiian Birth,” or “Certificate of Delayed Birth.”