Child's Name: [blank]
Date of Birth: Sept 18th 1895
Place of Birth: Londonderry
Color: W
Living or stillborn: Living
No. of Child: 3'd
Father's Name: Charlie Alexander
Birthplace: Manchester
Color: W.
Residence: Londonderry
Occupation: Laborer
Mother's Maiden Name: Jennie M. Young
Birthplace: Manchester
Color: W.
Clerk of: Londonderry