This text was obtained via automated optical character recognition.
It has not been edited and may therefore contain several errors.

---

State Board of Healt
//> sliU Z A ,)J.
Registrar’s Record of Births
l, $*7iS°unty ot£ ^y-'V'
^*1 a	/yL^so'tteR 43
St^te of Mississippi &
Bom In
Voting Precinct. or Village, or City. (Hospital)_________
Registrar’s Register No. ........m.
Date of Birth.
/A
_19i£y'
_A.M.„
//-
_1p.m.
Full Name of Child .
Sex.
JL
.Color.
Full Name of Father.
Mother’s Full (~h?	s/	tiP
Maiden Name />yrr-^-c	\___________
Born Alive?.
.or Stillborn?.
Name and Address^/?7 ^	/y*	(?
of Attendant	__.P^i- <*■_
^,7/Z
Date Certif. FUed.
Date mailed to State Department or Co. H. Offlcec.
i'ytCL
sv
Registrar.
Addi'tmn
v-v.
— •
c &
Born In
Registrar’s Register No_ /SJr
Voting Precinct.
y
or Village, or City. (Hospital)_________
Date of Birth.
-yt.	$?£:,
Full Name of Child
Sex____/'.////_/£
Full Name C
of Father.^
Mother’s Full Malden Name
A.M.i-2_P.M.
92^1
Legitirqate ?
(jPa<A  ff % t'fi
Full P. o. xl	//7-X
Address	/<~yfc<-/ jZ-n i ^x—
Born AUve? Name
_or StUlbom?.
fame and Address^ ~£ /	(	/	yV	\	j	/-
of Attendant	■2~
Date Certif. FUed.
Date maUed to State Department ' - or Co. H. Officer.
A
'-^c- So
.19^^
.19j£^
Registrar
Addrwm
1,
/y
. «in,ii.nm.**»>«■;V>j^;ypwilM^»W»!'WWy w,n",Mn.MM|‘<w»|"y.|;!rMt|.,iyr!!y|!',l|,,"M^Wl1Mffly*”TJV."'!1t