CAUTION 4a fence 0 faly acerca or
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CERTIFIED COPY AN ENTRY
Pursuant to the Births aha Deaths Registration Act 1953
S.RIR.B.D.
Nose VHITT 241 BIRTH e291
Administrative area
County Borough of Birmingham
| Registration district Birmingham
sub-district Birmingham
1, Date ang plage of bien CHILD
Fu , ia ha
3. Sex
Male
11. Name and sumame (if not the mother or father) | 12. Qualification
Sone the
FATHER
5 cciagp Mee aay s
———— MOTHER
| & Place ghFiriny , =
PE ekowe
Zia) Maiden surnome Gm
iaeae ieee
| _ ome ome |
7 Usual adress
| 1° Getaren tom om Gardens
|___ bloc of eid bien) R hoa
| INFORMANT
__otinformant |
“7 16. Signature of registrar
OM A-Orane Regiskra/
[Ti Name giver
after agisation, ie
and sumame
1
Certified to be a true register in my custody
dept CRE edacticain 30- 5-1993.D2 S71756