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New Jersey Department of Health Bureau of Vital Statistics Place of Birth Address of Mother: County: Burlington, NJ Georgetown Road Twp: Mansfield Mansfield City: None Address: None Name of Child At Birth CLARENCE SODEN Sex: Male Mother Married: Yes Date of Birth: 16 Feb 1886 FATHER MOTHER Chas Henry SODEN Martha Asay White Age: 24 BORN: Spotswood NJ White Age: 20 Born:Georgetown, NJ Clarence Soden, being duly sworn, says that he has definite knowledge concerning this birth and that all information shown on the certificate and on the reverse side is true and correct Signed: Clarence Soden, Age 56, Address: 134 Prince St, Bordentown, NJ If not a parent of the child, how do you know birth took place as stated in certificate: I verified the above from the family bibile. Subscribed and sworn to before me at Mt Holly, NJ this 30th day of Mar 1942, Judge B? to Court of Comn Pleas. Received at registrar: 30 Mar 1942 - KV |