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0 7 * Stat,e Board of Health X. /u 3 Mrs * J /?&*> * 3~ Registrar’s Record of Births County of y State of Mississippi ?):./?'<l/c/~£Z~7>i 3 ff/\ 3 9 fffc/ ^ ^ Bom In Registrar’s Register No.. -zsff It Voting Precinct . \ P or Village_____________________________________________________ or City (Hospital)_____________Z L Date of Birth ’ LsC _19^7 //^-k.M_PM. Full Name of Child je Jffa-j: /o& i * / Sex i. .Color. ±222. Legitimate ? Full Name >-of Father 7 (‘0-7 *7 I \ \ Mother’s Full - f?/'C/' S Malden NumfL? L^SZj jt *&\A <S^ r*. CX^ut^} Full P, Address s Born Alive?. .or Stillborn?. Name and Address/^ of Attendant Date Certif. Filed .19: Date mailed to .. t State Department / /" > / ' / J \ Jo. H. Officer______<- '/-<4o. £ < '* ' / or Co. Registrar. ---------19-^7 Address. Bom In Voting Precinct Registrar’s Register No-/f___________________________ 11. or Village or Cltyfl/* (Hospital) Date of Birth Full Name / of Child .. - -f * l ^ -4-- Sex, Color. . Legitimate ?_?! > a v Trf rf 2 Ck, cJL^ & ; /9,r£<:'iZa , 5SS* Full Name of Father Mother’s Full Maiden Name Full P Address Bom Alive?. Name and Addri of Attendant yu™ ri Date mailed to State Department or Oo. H. Officer. or Stillborn?_____ ^2-<T Date Certif. Filed C^jf jc^iy Jc? \Uz. -19^ . IQJ^Z Registrar. Address . ,y£ / ^U- !2_^_ V..
Birth Records BSL Midwife Record-of-Birth-Hancock-County-1935-1947-(39)