| Type of record | Original birth record - delayed
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| County | Monroe
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| Village | Kendall
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| Full name at birth | Christine Kier
|
| Sex | Femail [sic]
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| Color or race | White
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| Social Security Number |
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| Date of birth | Oct 31 1894
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| Father\'s full name | John Kier
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| Mother\'s full name | Leonora McGary
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| Signature | Christine Kier Hayes
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| Date sworn | Dec 22 1954
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| Notary public | Carrie Kristensen
|
| Date filed | Dec 24 1954
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| Document 1: |
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| Abstract of supporting evidence | Physician\'s Record: Notarized copy from Dr. G. B. Hill in custody of Mrs. Sylvia Smith.
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| Date original document was made | Oct. 31, 1894
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| Registrant's birth date or age | Oct 31, 1894
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| Registrant's birthplace | Kendall, Wis.
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| Name of father | John Kier
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| Maiden name of mother | Nora McGary
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| Document 2: |
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| Abstract of supporting evidence | Affadavit: Affidavit of Cecilia H. Gammon, Kendall, Wisconsin
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| Date original document was made | Dec 7 1954
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| Registrant's birth date or age | Oct 31, 1894
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| Registrant's birthplace | Kendall, Monroe Co., Wis.
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| Name of father | John Kier
|
| Maiden name of mother | Leonora McGary
|
| Document 3: |
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| Abstract of supporting evidence |
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| Date original document was made |
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| Registrant's birth date or age |
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| Registrant's birthplace |
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| Name of father |
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| Maiden name of mother |
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| |
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| Location of record | Monroe County Courthouse, Sparta, WI
|
| Volume | 68
|
| Page | 429
|
| Transcribed by | Bruce E. Kendall
|
| Transcription date | Aug. 24 2005
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