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-- ----- - - - <br /> 'fix <br /> /77 <br /> b � <br /> DATE OF t CONDITION. <br /> COLOR As Twin or NAMES OF PARENTS. <br /> NAME OF THE GIIILD. SES. (other ( Twin, PLACE OF BIRTH. <br /> 10' (If it have any.) than Illegitimate.) <br /> BIRTH., white.) <br /> 17, <br /> i <br /> . I I <br /> i <br /> I <br /> I <br /> I <br /> t` <br /> I <br /> I <br /> i <br /> � i <br /> a <br /> I <br /> 1 <br /> i I i <br /> (:li) [ale; (F) Female. ------ --- ------ ---------- - <br /> f (B) 'Black: (R'I) llnlatto; (Incl.) Indian. <br /> MlIR <br />