Information on this page may
not be used for personal or financial gain.
It is to be used for research only. Thank you.
Please understand that some of the handwriting was faded, incomplete, and poorly written,
therefore, some errors in transcribing may have occurred.
Register of Birth Information
(1) Full Name of Child (2) Date of Birth (3) Place of Birth (4) Sex,
Color (5) Presentation, Head, Breach, Cross, Still Born, Multiple
Birth
(6) Mother's Record, Full Name, Age, Color, Nativity, Occupation
(7) Full Maiden Name Of Mother, No. of Marriage Of This Mother, No.
of Child By This Marriage,
No. of Children By Previous Marriage, No. of Children Of This Mother Now
Living
(8) Father's Record, Full Name, Age, Color, Nativity, Occupation, No.
of Marriage Of This Father, No. of Child By This Marriage,
No. of Children By Previous Marriage, No. of Children Of This Father Now
Living
(9) Reporter, Doctor, Midwife, or Head of Family (10) No. of
Certificate (11) Remarks