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
Putnam C 5578 86 2754

Date of Return
(Month/Day/Year)
  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 28 1892
  1. Male
  2. fourth
White
  1. July 16 1892
  2. Jackson Twp

  1. Nationality of Father
  2. Place of Birth
Age
  1. Nationality of Mother
  2. Place of Birth
Age
  1. English
  2. England
36
  1. Un S??t
  2. Illinois
32

  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. A??ie Ro?erts
  2. Chill
  1. Asthws Ro?erts
  2. Farmer
  1. L L Gray St John

NOTE
mothers name nn or mm last name b or f 


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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