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xvcgiouai a ivctuiu U1 Dll lltS State Board of Health 7 s ■A County of H,RA*r tie r.w State of Missi3sippi 'XaA. <r Born In Voting Precinct Registrar’s Register No______________'(f'Q or Village or (Hospital). City of . Date of BirthS’ 19HA _ asCa. Color JO FuU Name of ChUd Sex frX^lsU..< FuU Name < of Fathep Mother’s FuU Maiden Nan Legitimate? lCc<SZsi4&S- Address Born AUve? Name and Adi of Attend! Date Certif. FUed Date maUed to State Department or Co. H. Officer Registrar Address Born In Voting Precinc Registrar’s Register No. Date of Birtl si. Sex Cnlnr or _ Legitimate .... . _ .. s,.// I SU -P.M. Mother’s FuU Maiden Name FuU P. O Address. Bom AUve?. Name and Addri of Attendant Date Certif. FUed n^r-t a «2~ Q^/a Date mailed to State Department or Co. H. Officer Registrar. Address t^a.
Birth Records BSL Midwife Record-of-Birth-Hancock-County-1935-1947-(42)