MySource |
Certificate of Birth |
Author |
State of Illinois Department of Public Health - Division of Vital Statistics |
Coverage
Place |
Evanston, Cook, Illinois, United States |
Year range |
1935 - 1935 |
Surname |
Hultgren Raych Reid |
Citation
State of Illinois Department of Public Health - Division of Vital Statistics. Certificate of Birth. |
Repository
Name |
Collection of John Michael Stephenson |
Birth Certificate for Bonnie Janette Hultgren.
1. Place of Birth: County of Cook (Illinois), City of Evanston, Street and number: 936 Forest Avenue.
2. Full name at birth: Bonnie Janette Hultgren
3. Sex: Female
6. Legitimate?: Yes.
7. Date of Birth: January 8, 1935
Father Information
8. Full Name of Father: Rollin Hultgren
9. Residence at the time of this birth: Evanston, Illinois
10. Color: White
11. Age at time of this birth: 18 yrs.
12. Birthplace: Evanston, Illinois (note: incorrect)
13. Occupation: Student
Mother Information
14. Full Maiden Name: Dorothy Lillian Raych (note: birth name is Reid)
15. Residence at the time of this birth: Evanston, Illinois
16. Color: White
17. Age at the time of this birth: 19 yrs.
18. Birthplace: Minneapolis, Minnesota
19. Occupation: Housework
20. Number of children born to this mother at the time of and including this birth: 1
21. Certification: _.H. Vallancey, Attending Physician, 4770 Lincoln Street
22. Filed: Nov. 30 1939, W.H. Tucker, M.D. 1806 Maple Ave. Evanston, Illinois
This is a certified copy of the original document. Date of copy: October 23, 1940.
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