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Fomi R-54. 10x1-10-58-923918 <br /> C` 4.e (fvuuna xf wa1t4 .off aysarrtfs N? 252534 <br /> EDWARD J. CRONIN <br /> SECRETARY OF THE COMMONWEALTH <br /> DIVISION OF VITAL STATISTICS <br /> COPY 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 to the birth of <br /> and that the following is a true copy of so much of said record as relates to said birth, namely:--- <br /> Name It a E L ,L. / AIc. p L C <br /> Date of Birth .S E 5o D 7 <br /> Place of Birth F S- <br /> Sex �— olor <br /> FATHER MOTHER <br /> Name Maiden <br /> Name <br /> Residence esidence /g hl TUU E E <br /> Birthplace:_ Birthplace 10 E <br /> Occupation ------ .�- -O� ccupation <br /> Date of Record / 47"' g �� <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 A.D. 19 <br /> c _y /v D t, <br /> a <br /> x <br /> EDWARD J. CRONIN <br /> Secretary of the Commonwealth <br /> Year <br /> Vol. ............ .../....f.. .. <br /> Page .................. :. <br /> No. .................... ............. <br /> 'FEE-50-CENTS <br /> From Page 13 <br />