| Type of record | Original birth record - delayed
|
| County | Monroe
|
| Village | Kendall
|
| Full name at birth | Walter Kier
|
| Sex | Male
|
| Color or race | White
|
| Social Security Number | 477-09-1572
|
| Date of birth | June 19 1899
|
| Father\'s full name | John Kier
|
| Mother\'s full name | Nora McGarry
|
| Signature | Walter Kier
|
| Date sworn | May 26 1958
|
| Notary public | William K. Bast
|
| Date filed | June 11 1958
|
| Document 1: |
|
| Abstract of supporting evidence | Affidavit: of Mrs. Christine Hayes, Waterloo, Iowa, sister of registrant
|
| Date original document was made | Notarized: June 6 1958
|
| Registrant's birth date or age | June 19 1899
|
| Registrant's birthplace | Kendall, Monroe Co., Wis.
|
| Name of father | John Kier
|
| Maiden name of mother | Nora McGarry
|
| Document 2: |
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| Abstract of supporting evidence | Physician\'s record: data taken from the office records of Dr. GR Hill, Kendall, Wis.
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| Date original document was made | Entered: 1899
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| Registrant's birth date or age | June 19 1899
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| Registrant's birthplace | Kendall, Wis.
|
| Name of father | John Kier
|
| Maiden name of mother | Nora McGarry
|
| Document 3: |
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| Abstract of supporting evidence |
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| Date original document was made |
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| Registrant's birth date or age |
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| Registrant's birthplace |
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| Name of father |
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| Maiden name of mother |
|
| |
|
| Location of record | Monroe County Courthouse, Sparta, WI
|
| Volume | 72
|
| Page | 515
|
| Transcribed by | Bruce E. Kendall
|
| Transcription date | Aug. 24 2005
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