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Sid *f' �0%ffvfb ilt <br /> — COLOR. CONDITION. <br /> DATE OT NAME OF THE CHILD. other (As�I w!",o'- PLACE OF BIItTH. NAMES OF I'AP.IsN7.S. <br /> SES ( <br /> . <br /> No. (If it have any.) than Illegitimate.) <br /> BIRTII. white.) <br /> i s <br /> t -- <br /> i <br /> I <br /> I <br /> i <br /> I <br /> I <br /> I <br /> i — <br /> ,II <br /> I <br /> i <br /> iI <br /> j <br /> j <br /> A <br /> t <br /> I <br /> I <br /> ; <br /> f <br /> • y <br /> * (M) Male; (Fj Female. <br /> f (B) Black; ("I) Alulatto; (Ind.) Indian. <br />