Book #

Child's last name

Child's first name

Child's middle name

Mother's last name

Mother's First name

Date Registered

Certificate #

Birth Month

Birth Daay

Birth Year

094

UNDERWOOD

JOHN

W

CLEM

MARTHA

-

46776

09

30

1927

109

UNDERWOOD

SARAH

E

CLEM

MARTHA

-

54108

09

07

1928