So there is a difference in the seals. But contrary to the website that provides your photos, the seal on the factcheck certificate does in fact say "DEPARTMENT OF HEALTH" at the top and STATE of HAWAII at the bottom. I don't understand why you would put a lot of faith in a website that makes such a basic omission. If you are trying to prove a point, then please find a site that at least admits the plain fact that the seal in this photo: http://www.factcheck.org/UploadedFiles/birth_certificate_5.jpg really does say DEPARTMENT OF HEALTH and STATE of HAWAII