Child's Name: William Clark Dow
Place of birth: Farmington, Maine
Name of hospital or institution: Allen's Mills Road
Date of birth: Aug. 4, 1899
Sex: M
Father's name: George Lenville Dow
Father's age: 22
Father's birthplace: Avon, Maine
Father's residence: Rangeley, Maine
Father's occupation: Carpenter
Mother's maiden name: Anna Woodman Clark
Mother's age: 21
Mother's birthplace: Farmington, Maine
Mother's residence: Rangeley, Maine
Mother's occupation: Housewife
Name, address and title of person reporting this birth: Dr. Palmer, Broadway Farmington, Maine
Date record filed with local clerk: Dec. 31, 1941.
Delayed Return filed by Anna Dow, 32 Estes St. Lynn Mass. Dec. 31, 1941
