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State Board of Health .-njVfrj. 3 /f t ft i 3 /f- £( Registrar’s Record of Births County of State of Mississippi ZZ>/ ifdu^L~T //-/A J cT #/c A*? Bora In Voting Precinct, or Village. Registrar’s Register No._ A' M or City (Hospital)____________0(A <s{ Date of Birth—<» /$ Full Name of ChilcU c^t £ -19 .xi 9-J&_____A.M_________P.M. Sex Full Name ( of Father Legltiinate 1 /d I.e. Mother’s Full rZx U y /- Malden Namely ^ Full P. O. Address ^ / Born Alive?. .or Stillborn?- Name and AddresS/ , y?. ^ of Attendant f /st<3 Date Certif. Filed j-f Date mailed to jwz maueu WJ ^_ >* State Department / a j or CO. H. Officer (/ __ (U?o .19 .wA}r Registrar Address. (*3Z- Bora In Registrar’s Register No*. /• or Village. or City_______£. (Hospital). Date of Birth d ig 3 s-' S’ < Full Name -iST S*r- / / / of Child Aw. .PJd. Sex— Full Name of Father. Mother’s Full Maiden Nami Full P. O. Address Bom Alive ?_ _or Stillborn?. of Attendant Date Certif. Filed 3 /y Date mailed to State Department //S', / s/ or Co. H. Officfig^ &?. C y _19dL? .uJ3jr' Registrar. /? ■ Y Address <
Birth Records BSL Midwife Record-of-Birth-Hancock-County-1935-1947-(16)