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lid <br /> �F t CONDITION. --`- <br /> DATE OF NAME OF THE CHILD. er COLOR (As Twin,or PLACE OF BIRTH. NAMES OF PARENTS. <br /> No.. (If it have any.) SEN. (than Illegitimate.) <br /> BIRTH. white.) <br /> L /U C�t� LC��,, � 1TG�wv (1►�c��t�T�iw� �/ �J /LL?r � �`�� <br /> I <br /> ` I <br /> `3 <br /> i <br /> I <br /> i <br /> i <br /> i <br /> i <br /> ; <br /> j <br /> i <br /> l <br /> (M)Male; (F) Female. t (B) Blac1c; (M) Mulatto; (Ind.) Indian. <br /> -- <br />