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State Board of Health Registrar’s Record of Births County of State of Mississippi (/ C f , ( .■ A.' t' L-.x'—PTl ^ ti v 1 1/ Reitlstrar’s Register No. U~1 Horn In Vnt.tng- Prer.lnr.t. sS/.C"~T\ / v.'.ii ^ ^ ^ /.r. ^ /< yr o // Registrar’s Register Nn. ^ J Born In Voting- Prer.inrf. —^ £ C.‘i£^Y' or Village or Village or Citv nr mt.y /(3 ti'1'/ i-'t^ ? (Hospital) t— y-/ (Hospital) c—-<L /.y, -y/ ^ ^ J S^~6- j'j" Dfit.ft nf Birth CJ' // 19-r? / ft .A.M.// PM Full Name P .'.')// * , 0 / / , of Child i./7 y/CCL 'l-cy. Date of Birth 15)5^/ ^ ^A.M. PM Pull Name 2/_/ 1 ■ ■; //; of Child /7>, <^-.,7^ <S / -v V &V!'1 Rex w- £- Ct' Color /to ^-Cil^g-lt.imate? L C'J ^ / Full Name J / /**-' of Father W/I-l'M-l/l jy /V r'X>t2_^T--1. Full Name 0 / 7^ J / S of Father J /Ml/l- / 1 ^ //Y, 1 K-L > /> C_ ^ J / f ^2 ^ ■ 1 Mother’s Full 1 Q ' --if ' Malden Name,'"^ i ■;,•/■■< 'IC-L'C-'t-lA ,Y'?sC,<' Mother’s Full y/ _/' ) C ' Malden Name l,L-< 1 • s'l l-C* I J 1 ^ ' CV Iv / ' ! / ] famL?' jMy(u , ^ puii p. 0. q -C ' 1,, ’ Address jC') ,'A^f JA ' ^ A ^ ' // s Born Alive? nr Stillborn? y? / Name and Address ^ J / * ot Attendant // L-^J (o' Zh Name and Address // . fS- i . /' of Attendant / / /,. I ^ >Or tU-^<L C«--j Date Certif. Filed r A — // 1&.5 z' 7^ / \t Date Certif Plleri (' U^-CS . <J I . in J- Y Date mailed to .■ "' State Department . / — //0-nr Co. H. Officer L-J/1_ / if 1Q3 f Date mailed to ■ ~ 7 -*■ S . j State Deimrtment ' 'S ^ . /*., nr Hn H Offlcpr ijJ't-'i / m.3 cf Ronlatrar.-Jj/-( /£?.. ^ , /1 / >c Address 1 ^ t/ 'C £'*'—' < > UoyULrar // , „ Jj[ C( L> /j*.. / w AdrirpKs f (*) y y
Birth Records BSL Midwife Record-of-Birth-Hancock-County-1935-1947-(23)