Book #

Child's last name

Child's first name

Child's middle name

Mother's last name

Mother's First name

Certificate #

Birth Month

Birth Day

Birth Year

Year Reg'd

110

VANARSDALL

BILLY

J

HACKETT

MAYME

54803

08

28

1940

1940

057

VANMETER

CAROL

A

DEMAREE

JESSIE

28210

06

15

1936

1936

057

VANMETER

CAROLYN

A

DEMAREE

JESSIE

28211

06

15

1936

1936

108

VANMETER

GRANT

P

NIVISON

LORA

53574

08

05

1938

1938

046

VLORRISON

ELIZABETH

J

KERFOOT

MARGIE

22670

12

24

1940

1941