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HEARNAP — Part 38
Page 181
181 / 652
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TENE mB Aelia ik Spemtelen oe ee ES o arene cin th) tag te rmectsntitstietnatctns ‘st eet epee :
. he le Ma Sn ltt erm Ae at ae ES aKa
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Distaicr No __ 4953 ——-REGtSTARS 3 KO _130// _
_ Baldauf 3 15
ae SATE OF CHILD MADER XUARARE OF MOTHER
_ a ee The within Document Is a
Soncms 3. Usual RESIDENCE OF MOTHER, TAY LENGTN OF RESIDENCE ' correct copy of the record
> PLACE OF Bigte = «4 Coustr ee sm CALIFORNIA:
Sebastopol | California 13 '. in this office.
a, C-TF oR toe (B} STAT
If CUlbise Cast Oe Tee Ls, Werk Puma, as rey soutad past
: RABE CE WOSPITAL CM IRSTETUTION | {€) CovarrT. Sonoma 9 ATTEST: {3! “ fF fe
Drive Hos (bd) CITT O% TORR Honte Rio is ea VLU Ej a pig
TTP SE bm GSP iihy CR IMS IE deem. $34 SUMCET RVRRCM CR LOCATOR $f OVTSSOE Cily GR 1Oms EtBISS, Bate RURAL tiaea SORIKE pat? ‘
> MOTHER'S Star OxeDeE DTLIVEAT: o < : : ; HERB SHYVER, IR,
Ty ~eserTas Severe BY ig sais commune ¢ (b> STREET AND KURDX P. O Box 3 County Recorder in and for Sanoma
- erat MT . ey aN of California
1 5. Tex ot If SO—Boxn I 6. Nusace or Mommas 17. DATZ OF it " Re
vole Ho TesPLeT__ st zo—__1 OF PREGNANCY, ¥ sixn__Mareh 694A OF uty nec
i A Ax ba '
ar
FATHER OF CHILD MOTHER OF CHILD
3. Alfred Frederick Bohny 13. FULL
yee 7 | Mneew Juliem Baldsuf
TeAGs 16. CoLoR Bhite
lg ace._MS O10. Ace ar aa TMS OSRTH.
. cESSTK OF RESIDENCE IN CALIFORNY OR Rack ETF, ACE AT tome OF Emit BIRTH
18. BiIRTHPLAC
teeriand Veaas RUT KS Cara Q
19, Usuat Occuration_ HOWROWALS
Caretaker
Sane Cap Qwn Hom _
‘4 DUSTRY CR BUStNEssS
"Zi. CAMLGREN BORN 10 THIS MOTHER:
thane eo
. PerkFLaAc
S
me
. SL AL OCCUPATIO
20. INDUSTRY OR BUSINESS.
22, MOTHER'S MAILING ADDRESS FOR REGISTRATION NOTICE:
& ' j & HOW RAST OTRER CHILDREN WERE GORS ALIVE BUT ARE RCW OBAD: P. 0 Bor 335 <
Pe Sa ‘ LE @ MAST COILD2ER MEAL BORK OLAS. ¥_ Monte mids oe —_ -
AS eS ees Bz: Heenay Caarise, THAT 1 ATIENCED ING BIRTH OF TRIE CHILD WHO WAS BOAN ALIVE AT THE KOUR OF Bia a. on rhe DATS ABOVE STATED AKO TKAT i!
FF ‘§ _Mre a RELATED TO THIS CHILD 3 |other : ;
ATTENDANTS O@N as =" Se .
B.D, MIDWIFE OX omen MeDeo oat Saxe 74
avoness, BObastopol, Californie *. ®
&: HOW MANT OTHER CHILOACH OF THIS MOTHER ARE ROM LIVING?
L.te Rectiven ey Loca REGIsTRA
=. 5.STRAR S$ SIGNATUR
tN Newt Aporo_ er
tare Riviatace
a.
-
4s FOECSANTY, COMFLICATICNS OF: _None > — . . cag
acl ae
vans sy ‘
it $ {£1 D0 THE Bawy HAVE ANY
i ad CORGERETAL ancroanationt 2a orscstar: Hone z
‘ Ate
pi Lease, ComPMICATIONS OF: None - oa
eh _inouceo- BinTH insvny_ 28@ pc senine: a Hons — te
en ,
Wes TMAneE 4% Orta Ry Scatg au =.
‘oa Datieie rN OPERATIONS - Rone - ee
1F) WAS A SEVOCOCICAL TEST BADE FOR STPHICIS IN THIS vom YOu .
113 Ge ao
os. it
Ys3
Hay a Peoreyractic Geve aS 4:3 vor Nitrate
_it Vas Stete Dave
STATE OP CALIFORNIA CERTIFIC ATE OF LIVE BIRTH U. S, DEPT. OF COMMERCE .
i 24RTMENT OF PUBLIC HEALTH BUREAU OF THY CENSUS
IF SO, AT WHAT PERIOD OF CLSTATFICN’.
if KOT, WNT MOTT.
+ we
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