Child's Name: [blank] Newell
Date of Birth: May 19th 1899
Place of Birth: Winchester N. H.
Sex: Male Color: White
Living or Stillborn: Living
No of Child: Fifth
Father's Name: Everett W. Newell
Birthplace: Marlboro N. H.
Color: White Age: 27
Residence: Winchester N. H.
Occupation: Pail Turner
Mother's Maiden Name: Josephine M. Norcross
Birthplace: Winchester
Color: White Age: 28
Occupation: Housewife