Missouri Digital Heritage :: Collections :: Birth & Death Records Database :: Birth Record Detail

Missouri Birth & Death Records Database

Permanent Record of Births

County Roll Number Page Number
Miller C 4465 221

Date of Return
  1. Name of Child
  2. Sex
  3. No. of Child of this Mother
Race or Color
  1. Date of Birth
  2. Place of Birth
Dec 4, 1884
  1. Brockman,
  2. Female
  3. First
  1. Nov 10,.1884
  2. Saline Twp. Miller

  1. Nationality of Father
  2. Place of Birth
  1. Nationality of Mother
  2. Place of Birth
  1. American
  2. Equality Twp.
  1. American
  2. Saline Twp., Miller Co., MO

  1. Full Name of Mother
  2. Maiden Name of Mother
  3. Residence of Mother
  1. Full Name of Father
  2. Occupation
  1. Name and Address of Medical Attendant
  2. Name and Address of Person making Certificate
  3. Returned by
  1. Martha A. Brockman
  2. McFall
  3. Saline Twp., Miller Co.
  1. John S. Brockman
  2. Farmer
  1. Pleasant Mount, MO
  2. H. H. Brockman, MD


Due to possible errors or discrepancies in this abstract it is recommended that researchers request a print copy. To request a copy of this record, please print a copy of this page and mail it to the Missouri State Archives, PO Box 1747, 600 W. Main Street,  Jefferson City, MO  65101 with a check or money order for $1.00 made payable to the Missouri State Archives.  Please include a #10 business size, stamped, self-addressed envelope with each request.  Please submit one photocopy request at a time.
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