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Tth CONDITION. NAMES OF PARENTS. <br /> DATE OF NA3IE OF THE CHILD. S (As'I'�F'in,or PLACE OF.BIRTH. <br /> No. (If it haya any.) illegitimate.) —.— _.— —_---- <br /> BIRTH. — --- ----------_. <br /> 4 - <br /> 9 <br /> < t <br /> i <br /> I <br /> i <br /> I - <br /> i <br /> (m) 11lale; (F) Female. t (B) Black; (iVI) Mulatto; (Ind.) Indian. <br />