| Type of record | Original Birth Record
|
| County of | Monroe
|
| Township of | Ridgeville
|
| Village of |
|
| City of |
|
| Street & number or name of hospital |
|
| Full name of child | Dorothy Christine Perry [originally entered as "Minnie Perry"]
|
| Sex of child | Female
|
| Color or race of child | White
|
| Twin, triplet or other? | Single
|
| Legitimate? | Yes
|
| Date of birth | Sept 1 1910
|
| FATHER: |
|
| Full name | Willaim Perry
|
| Residence | Ridgeville
|
| Color or Race | White
|
| Age at time of this birth | 42
|
| Birthplace | Ridgeville
|
| Occupation | Farmer
|
| MOTHER: |
|
| Full maiden name | Minne McGary
|
| Residence | Ridgeville
|
| Color or Race | White
|
| Age at time of this birth | 32
|
| Birthplace | Norwalk, Wis
|
| Occupation | Housewife
|
| Number of children of this mother: |
|
| Born alive and now living | 4
|
| Born alive but now dead | 4
|
| Stillborn |
|
| Time of birth | 5:30 AM, Sept 1 1910
|
| Doctor | W.B. Ford, MD
|
| |
|
| Location of record | Monroe County Courthouse, Sparta, WI
|
| Volume | 6
|
| Page | 326
|
| Transcribed by | Bruce E. Kendall
|
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