Tuesday, May 11, 2010

Happy Birthday, Martin! (Legitimate: Yes)

CERTIFICATE OF BIRTH
City: Omaha
Street: 2507 Pierce St.
FULL NAME OF CHILD: Martin Miles Jensen
Sex: Male
Full term: Yes
Legitimate: Yes
Date of Birth: 5-11-1931

FATHER
Full Name: Lars P Jensen
Post Office: 2507 Pierce St.
Color or race: White
Age at Last Birthday: 47 years
Birthplace: Denmark
Trade, Profession: Truck Driver

MOTHER
Full Name: Ruth Edith Norby
Post Ofice: 2507 Pierce St.
Color or race: White
Age at Last Birthday: 41 years
Birthplace: Nebraska
Trade, Profession: Housewife

Number of Children of this mother (at time of this birth and including this child): 5

CERTIFICATE OF ATTENDING PHYSCIAN
I hereby certify that I attended the birth of this child, who was Born Alive at 1:30 PM

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