Child's Name: [blank] Date of Birth: Sept 22'd 1893 Place of Birth: Londonderry Sex: F; Color: W Living or Stillborn: Living No. of Child: 2'd Father's Name: Cha's Alexander Father's Birthplace: Manchester Father's Color: W Father's Residence: Londonderry Father's Occupation: Occupation Mother's Maiden Name: Jennie M. Young Mother's Birthplace: Manchester Mother's Color: W Clerk of: Londonderry
