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CERTIFICATE OF LIVE BIRTH number 121-7-126, Certified copy dated 12/21/1998 |
| Author |
State of Michigan, Department of Community Health |
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Citation
| State of Michigan, Department of Community Health. CERTIFICATE OF LIVE BIRTH number 121-7-126, Certified copy dated 12/21/1998. |
[PRINTED SEAL] STATE OF MICHIGAN
[OF STATE OF MI] DEPARTMENT OF COMMUNITY HEALTH
121- 7-126
CERTIFICATE OF LIVE BIRTH
1. CHILD - NAME (FIRST) (MIDDLE) (LAST)
Marjorie Kerr
2. SEX 3. RACE OR COLOR 4. STILLBORN, TWINS, ETC 5. DATEOF BIRTH (Month, Day, Year)
Female White March 11, 1905
6. LOCATION OF BIRTH 7. COUNTY OF BIRTH
Detroit Wayne
8a. MOTHER'S NAME (FIRST, MIDDLE, LASTI 8b. BIRTHPLACE OF MOTHER 8c.OCCUPATION OF MOTHER
Ella Kerr Michigan Not Given
9a. FATHER'S NAME (FIRST, MIDDLE, LAST) 9b. BIRTHPLACE OF FATHER 9e.OCCUPATION OF FATHER
Fred Kerr Michigan Agent
10a. MOTHER'S RESIDENCE 10b. FATHER'S RESIDENCE
336 Forest Ave. 336 Forest Ave.
11. DATE RECEIVED BY REGISTRAR (Month, Day, Year)
May 28, 1906
December 21, 1998
I hereby certify that the above is a true and correct reproduction ofthe certificate on file in the Michigan Department of CommunityHealth, Lansing, Michigan.
CERTIFIED BY:
[orig. signed by]
Carol V. Getts
State Registrar
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