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REGISTRY DIVISION, CITY OF BOSTON _ COUNTY OF SUFFOLK, COMMONWEALTH OF MASSACHUSETTS, UNITED STATES OF AMERICA Certificate NO 083698 CERTIFIED COPY OF RECORD OF ESIFR"T FI INOFFICEOF THE CITY REGISTRAR cca I, the undersigned, hereby certify that I hold the office of... City Registrar of the City of Boston, and have the custody*of the Records of Births, Marriages and Deaths ‘required by law to be kept in said City; and I certify that the following facts appear on said Records: ame of Child.. Name, SuRNAMB AND BrnTHpLace oF FaTsEr Name, Marin NaMe AND Birtupiack oF MorHER Vinal Wete| Morava Von | Dh ory, ree Occupation or Parenr - . 7 Name anp Apppess or INFORMANT + I further certify that by annexation, the Records of the following-named . WITNESS my hand arid the SEAL of the CITY REGISTRAR . sot, cities and towne are in the eustody of the City Registrar of Boston:— * ANNEXED Annexe on this. APB.2.9..1903. A.D. 18.00 ri no . ‘ West Roxbury . . A Me Hyde Park... 912 By Chapter 814 of the Acts of 1892, “the certificates or attestations of either Assistant =~ Su City Registrar shall have the same force and effect as that of the City Registrar.” : . East Boston. South Bo: Roxb Dorehest Date of amendment: