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Birth ID: Certificate Location: Certificate Number: Birth Location: Birth Date: Name: Immigrant ID: Sex: Parents' Home Address: Father's Name: Immigrant ID: TNMR-06SEP1917-3-30-0002 Birth Place: Age: Occupation: Mother's Name: Immigrant ID: TNMR-06SEP1917-3-30-0003 Birth Place: Age: Occupation: No. of Children Born: No. of Children Now Living: Parents' Marriage Date: Parents' Marriage Place: Comments: delayed birth, filed 31-Mar-1938 by R. W. Peterson