REGISTER. OF

 

 

  
 
  

Child’s Name. Father's and Mother’s Name

 

  
        
 
           
     
   
  
       
        
    
 
 
  
 
 
 
  
 
  
 
 

A” , ' .,
//77/1 1/! fi/A/M/v {7/} fig X/fi/z/ [7//
‘/ V /

”MU/A / / /1 </ “:77 (>41 ,1 AAA/7 Af/t/
1’ 3 1,) , ,/
//,,/ /4// 477///A./ / AAg/z A‘//‘
V v / / . ‘ /
/A1/// ///‘,Z /' £5744 / A/q/i/rfl’ {7/ /l’

zi‘AlrLg/‘r ‘

1,;7
( 47/?/()/

A0711

Aflx/m A/Am/Afi 1 1//

/1/&/
////// //’7////’ AVA/DA)

’///// 1/ 1/?//( 7/717 "/2 ‘
y/fl/A /////fl///‘/ 7////// M/:///A/‘/
////7///’ {CV/7N ”Kb/21
// ' ’ /
////A‘//): ll/j/Afl/é/fl u/é/y/A/Ju
/9////((. /_4{ A(t;//A/4 /(»//zz L/A}/ 2447/

  

’7 , . /// 7 ’ . “/
47/21/(A 17Afl-1’ // 7/1/741/4‘ Afl/fl 77277/7l//

,/ [IA/A217 / / (A

A/

///‘}/‘/;/z‘r / 7/221 A1,»
//4'//krz////;z/z ////1A///
”7/4: t 1 Ail/414144 A” 1271‘, 14¢
A7 44‘ } AA a/AA/ AAA/i/M//
t/f/A; A J2“! ”(17; ,4

/[A/.A:/t/I1 x x/AzA L JIM)»; L
Aguaéxflfl/ YéLfil/ffé’ie
1/474th o/AM AAAAA/ AAA/44441
//“/Z/1 / ///‘7//4g,1 ,v”////A/14//

AAA/m Air/Q /- éflAfi/fl :74 /*AAZ A

%%//A/ Aggy/”4441 fl/ 714afl/
’f/zz 1c AAA/2mm AAmANm
/ AAAIL EVA/A4421“, /7’Z//¢2A42\
JAM/A4 r A/A1 /1AA1/A‘?M
@411 10:7“ W154:

3171mm r/AW 0/sz
/

 

 

Iv‘ather'a.;’lbade. Raidence.

%fl/7’7Zfl7” 77/07 (2 0/29/wa
‘ 7:79-77sz /A//A///,1/A‘A/AAAA
v.,, ///// //// 1 ~
// man A AA A
/AAAWAW ,,
741mg”; JA’Z‘ 1%}?Mu
////(//)}l m 1. 1'1
%f [2% W :4 ’7
AAA”, my . 11 11
{/Aflm AM %////A 7277141

L/AA’A/Aa/M AAA A 3 ‘1,
WA/A/élzui 1, ’4
WLIV/auux 41 A

AAA/aw! A - 1, 1 1, 11 1A / fl/%W%/' %A77£§:]/%/3
@MMzi/zr A /m.//Z /J’A</A “ Aggy/A3 3.91%??- /

,, . .1 AAA/[3479314 1/74 21 AM 7 //M/; ~ I/kfl/éféy
AAA/Au {AA/ AAA AAA/”Awe ////A A ”/XA/ {A AAA/,1 AA/W/ _
‘ A 3 fl .4 éy/L/fl/ gA/Arf/SA/ “AAA/£2, J4/A7u
[AAA/z AM _ ”Am AAAA AJAY/#5:! AAA 149/4? AAA/A47 A AAA/A, flLW ‘

 

Civil State.

 

            
    
   
 

ASE é

. f3

‘ When born. 1 . ' 3!] whom . 3
1

 

-.... ,___.___...._...._._._._.._

//44:7A " //’//J”

24/11, A ‘//// A

AAA/A2? ”/Pz/v
AAA/«7AA

7/4711“ A/AA ‘3
//A AAA/A 3
//A2 //AA1A- 3
/%fl/%/ AAA/AKA ‘
[ZAA/A A/KAAAA/Aé 3

Am 4/-?’/f'4zi

 
 
  

A [f c _ . . -
Afiy Vféi WJAL‘YA’?’ ZflAA Mfl‘ét “f3
A/Aflj: APA/ AAA/’4’ :/://A/j’/ /AA/// >%g%//

/

I