hat a certificati of bieilelsatt Sex: Female on: At: Name of father:- uK Maiden name of mother: Date filed: - :Date issued: New York State Departmeb, Albany, N. Y. 12237 (gunfire, of !frill! tr - 'n uncrfil.:she name of: --;:cliki,%.7;i"*.f,•i' • I - w. " "' • :;:r7ti" • • ,Z.4.7.i:•=;Vt: