Laserfiche WebLink
- ;5. <br /> 4 -- <br /> I <br /> _ Form R-54. IOM-4-59-925160 <br /> C` e C� ax� eX � e N° 267160 <br /> JOSEPH D. WARD <br /> SECRETARY OF THE COMMONWEALTH <br /> DIVISION OF VITAL STATISTICS <br /> I <br /> CONY OF RECORD OF BIRTH <br /> I, the undersigned, hereby certify that I am the Secretary of the Commonwealth of Massachusetts; <br /> that as such I have custody of the records of birth required by law to be kept in my office; that among <br /> such records is one relating toe birth of <br /> tdc L © L—) t eAl <br /> and that the following is a true copy of so much of said record as relates to said birth, namely:--- <br /> Name <br /> .; Date of Birth I? y r <br /> Place of Birth <br /> Sex Color – - <br /> FATHER MOTHER <br /> NameMaiden <br /> L / ,i s �� (2'QErC-- ame '4 &/ — EC..7 = - <br /> Residence zt j-H PC-- er Residence t- <br /> S <br /> Birthplace erQ)Q- BirthplaceAA 14 j <br /> Occupation `-- Occupation <br /> Date of Record <br /> or- <br /> And <br /> And I do hereby certify that the foregoing is a true copy from said records. <br /> WITNESS my hand and the GREAT SEAL OF THE COMMONWEALTH at Boston <br /> on this � / day of <br /> C� <br /> JOSEPH D. WARD <br /> Secretary of the Commonwealth <br /> Year ......../.... .. ... <br /> vW Vol. .............................`..........777.....' <br /> Page ................................ <br /> E'E S 1.0,n <br /> From Page 12 <br />