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/1 <br /> Form R-323. 2m d a9-9L53B4 <br /> i <br /> TS it#j5 '10W <br /> 9tr4iStrrrb tit Of <br /> - <br /> (USE TWO LINES WHERE NECESSARY, ALL NAMES TO BE GIVEN IN FULL.) — -- <br /> DATE Condition, FULL NAME OF FATHER i <br /> NO. OF FULL NAME OF CHILD SE% as Twins, COLOR PLACE OF BIRTH <br /> eta <br /> i� J <br /> 61 <br /> �..-.- <br /> X&wi, T <br /> ' <br /> a <br /> - <br /> � M <br /> Iti <br /> 5 o-i ��-� � ,AL M44 C, <br /> q <br /> i <br /> ar4usle#ts <br /> � r f�lantutl�xuurl nrfss�trusps <br /> A. <br /> UNITEDSTATES OF AMERICA. ZTH <br /> COPY OF RECORD OF BIRTH ..... .......... ........... ................... . <br /> TOWN of. FALMOUTH _ ...... .. . .... ........... ..................... rn Falmouth <br /> __ _. . ... . ---------•-••_o ..•----• ... ......................... <br /> f- <br /> gn y Town Falmouth law to be kept in m office; that <br /> I, the undersigned, herebycertify that I am clerk of the________________________of-___._.__..___-__------_-_---• p y <br /> that as such I have custody of the records of births required by law to be kept in my office; that <br /> w <br /> among such records is one relating to the birth of �T <br /> WINONA CHRISTIE POCKNETTrelates to said birth, namely: <br /> ........................................................................ ......... <br /> and that the following is a true copy of so much of said record as relates to said birth, namely: — <br /> Date of Birth-_-------------FebruarY.•_13 , 1975 ttS i. <br /> Falmouth, Massachusetts <br /> Place of Birth.--... -------- ------- ----- . ....... •. - - -- <br /> t <br /> — ---- --- —— nett <br /> .......................................... <br /> { Name of Child-----------------Winona Christie Pocknett <br /> --•-------------------••-•------ --- E <br /> Sex........Female ---------------------------_.Color ................... <br /> - ------------------------------------ <br /> • _ <br /> • _.. --- ------------ - -- - — — MOTHER <br /> FATHER MOTHER Grace Mae Hicks <br /> •----------------------- - -.._...__..._..._..- ._._ <br /> Name •-•Horace Pocknett _ - _ _ Maiden Name ___Grace Mae Hicks <br /> -------------- <br /> MasheelMA <br /> •-----------P--•- ------------------------•--------------•---- <br /> Residence----•Mashpee-,__-2:A•----_ - Mashpee, MA Residence-__--___ - <br /> Mashpee --MA._..._.. __......-- -•-- k <br /> Place of Birth......Mashpee, -----•------__------------ Place of Birth_-Mashpee VIA <br /> - ' <br /> ation <br /> Truck Driver <br /> Occu ............................................................ ' Secretary. ...-.._ .... .. ....... ............... <br /> pOccupation Secretary. <br /> r <br /> Date of Record ............ arch 28 ,. ...1975.................... ....................................................... <br /> ing is a true copy from said records. <br /> And I do hereby certify that the foregoing is a true copy from said records. Town Falmouth <br /> .___.___...of___._._.__..-......_.Falmouth---- <br /> Witness <br /> � <br /> Town Falmouth l <br /> ± SEAL witness my hand and seal of said ----------__ .oi.---_____..___.._.�_ — - September 1983 <br /> i <br /> / on this___.__-___.30th -- day oi_ September___.___.198 3 <br /> t <br /> 1975 ..-...-..-.. <br /> fear...... ............... ___ Clerk <br /> _. ... <br /> Clerk <br /> Page......_Mt....... <br /> .......... 60 C <br /> rORM 429 Hcaes a \YaR�s�. nuc.. weusHc*• <br />