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3 <br /> i <br /> 1 <br /> l..w <br /> Births Revistered in the hzdo <br /> REVISED AUGUST 1971 (ALL NAMES TO BE GIVEN IN FULL) <br /> w DATE CONDITION. RESIDENCE OF <br /> NUMBER OF FULL NAME OF CHILD SEX as <br /> TWINS, PLACE OF BIRTH PARENTS <br /> ETC. <br /> BIRTH <br /> ip <br /> D <br /> _ a <br /> t4a 'z <br /> s /a <br /> s <br /> o Gh9 s <br /> i <br /> FORM 1146 HOBBS & WARREN. INC. <br />