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TOWN OF BARNSTABLE <br /> pFTHLEr OFFICE OF <br /> CLERK AND TREASURER <br /> . ... � ;gAfl39Ta7iL i - <br /> !' VAlt <br /> :r; YAY AUG 2 61988 <br /> HYANNIS, MASS., <br /> i],we ► nitrate in eyes on admission - ' <br /> '" QZbe Q1011 ittun(urai}il of c�; <br /> E..B.a1` lS. .�b�.�:..........,: -: It_,sacllttsrtts Barnstable <br /> (County) ... ....:.. <br /> 1 OFFICE OF THE SECRETARY (City or Town making this return) <br /> F7 <br /> BOF VITAL•:•. , �: .DIVISION AL STAT <br /> ►SVCS <br /> 1 c ................................ <br /> it (QiJy or Town) . .STANDARD 491 <br /> r ,. <br /> ..CERTIFICATE OF-BIR <br /> Registered No. <br /> ....................... <br /> NO. .gLpe,...Cod; Hospital. •� <br /> A. �!d"•' ............•••.••............ STREET.: h occurred inn hospital or institution, <br /> Dlothe;'a stns• beGrre dellcery::�Iu'hcrepttal or inyfitutlnu2t, o street and numb <br /> ., j W ... n : .....�.�. <br /> D (If birth•••.•••••••••••WAR give its NAME instead f <br /> 2 FULL NAME OF CHILD;............: 5 I number) <br /> 2n thl conn nwity <br /> Everett. Franklin Tob ey Jr{ f eh;la is not yet named,make l <br /> ...................................................................................................................... <br /> 3 Sea M 1I �4,ivin or Triplet'...:.:..........::. 5 Born ALIVE,iii'STILL130ItN Q Dnte <br /> supplemental report,as directed <br /> Tj rthn <br /> SR Rl�1F1 t ' ural if so.horn l�ct, ;nd or:i d....... of Mirth <br /> alive Jan <br /> 20, 1949 <br /> t .... .... <br /> .. <br /> .................. <br /> (bi (Dayj.. ..�Yearj... <br /> onth) <br /> .BATHER 1:3 <br /> F(7LIj <br /> >9MF7 <br /> b1AiD?;N Mary <br /> �'Y Chri dine Rose <br /> F Brett Franklin Tobe PRESENT........... <br /> n n� <br /> ........ NAME 1)A <br /> S t <br /> ... <br /> .. . <br /> . fie....T •, <br /> by <br /> 4RESIDENCE,. NO. •.............................. EET <br /> RESIDENCE,.NO. ... <br /> CITY OR <br /> :TOWN Pocas.se' t Mass Pocasset .Mass;rT <br /> .................STATE C[T} OR TOWN ..: <br /> . STAT <br /> 0 I i Q E............................... <br /> GALOft 15 <br /> n AGE AT TIME OF 25 <br /> SIS #Al7�I71 st COLOR <br /> cdi^ •••••••••••• ••I THIS BIRTH Colored <br /> _.............Genas) OI{ RACE .. <br /> R <br /> AGE <br /> % � •� u .....:., THIS A BIRTH�..�.F.......(�..�'(Yenas) <br /> Mashpee, Mass. I' . West Barnstable, Mass. <br /> P ,ACE <br /> F $IRTIf .................. <br /> Town) (State or'Countra') <br /> fCity or Tmvn) <br /> 12 (State or Country) <br /> OCCUPATION fishing 1 time <br /> R <br /> OCCUPATION <br /> I herebx arktfy that I attended tJl birth of(�his VId who%vls,born at the hour of.[~'.�.lo.•,maamhe date ali,•ernted. The information <br /> � Rw 1�pa Furn+'shea by....... lyl$j�Y:.:..'.�... i obey th <br /> .... <br /> ••• , related to this child as .............................. <br /> 3I{fd `ISTIRE OF .. ..... ... <br /> ATTF I T' AT.BIRTH ...1;. '` , George Bourne <br /> ............................... <br /> :C `..... 4'�--�....... ne MD <br /> ((Name) ................... ........... .... <br /> (Physicia }�p ^1�49er etc)Y <br /> ADDRESS pip • n. �,. Mass.* DATE ...............................................................Z '27• t <br /> .................................... <br /> 30 It CI✓IVE)) AT OFFICE OI' CITY OR'TOWN CLERIC....:...., " <br /> . <br /> AN 2.8. 1949 : I <br /> ..' (Morith)....................................... <br /> . :, (Day) `Year) ! <br /> n1. A TRUE QOFX';�kTTES'f:`.'..�.'......,.;:,. ..........._....:..�Ti4.../"S 3. E..�.1 :t:�:..�.''..`- _......... .,,�,:,•, i '.nr ......... <br /> � I - <br /> - ........................................ <br /> II .. . - .?,.(Registrar)• .. ` <br /> • I <br /> _ I <br /> j <br /> A TRUE COPY ATT"T <br /> Tomlin Cbl <br /> BARNSTABLE + <br />