State
of Minnesota
Division of Vital Statistics
Record of Birth (No. 8242)
No. in Registration Book: 115
See transcription below
State
of Minnesota
Division of Vital Statistics
Record of Birth (No. 8242)
No. in Registration Book: 115
| County of | Dakota |
| City of | So. St. Paul |
| Full Name of Child | Mary Michachevich |
| Sex of Child | F |
| No. in order of birth | 2 |
| Date of Birth | July 30, 1916 |
| Father, Full name
Post Office Address Color Age at Last Birthday Birthplace Occupation |
Jaroslave Michachevich
S. St. Paul 18 22 Austria Lab |
| Mother, Full Maiden name
Post Office Address Color Age at Last Birthday Birthplace Occupation |
Antonia Vitek
-- W. 18 Austria -- |
| Nomber of children born to this mother, including present birth | 2 |
| Number of children of this mother now living | 2 |
| I heareby certify that I attended the birth of this child, who was born alive at 5 a.m. on the date above stated. | Mrs. A. ??ka |
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