DETAILED BIRTH INFORMATION
REGISTRATION NUMBER: 1909-008144
CHILD'S DETAILS
Last Name: PERKINS
Given Names: FLORIS MARY
Sex: FEMALE Date of Birth: 06/12/1909
PLACE OF BIRTH DETAILS
Name of Hospital:
Place of Birth: DAUPHIN
USUAL RESIDENCE OF MOTHER
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MAILING ADDRESS OF MOTHER (IF DIFFERENT FROM RESIDENCE OF MOTHER)
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OTHER PARTICULARS
Duration of Pregnancy: wks Number Liveborn Including This Birth: Number Stillbirths:
Birth Weight: grams Parents Married: YES Mother's Marital Status: MARRIED
FATHER'S DETAILS
Last Name: Given Names:
Place of Birth: Date of Birth: Age:
MOTHER'S DETAILS
Maiden Last Name: KNEPFLAR Given Names: TERESA
