Little Falls herald. [volume] (Little Falls, Morrison County, Minn.) 1889-1950, 1913-05-09


: - t.! ~ = j,
Eahq S39FWesds( sEo St4e
s.distl1tt !: seas1s s.nter. EeeelpH
it3tS ~ pn, blatR; 'fafnillf!a for, that
|purIose of az deaths where ne mas nah cnafse
OF the remain. OF 'e4a ne
WHOM FuRNisAEID: .. c0NTE p 81. IT. TIE
Of any child. or. q tnere 70 n. no s I.s
mother sf shall. within then days thss.aftsr. SUBJ
district within which the birth occurs Ger
Place Of birth including statA county. city.
vinaSo Of ers, WIN y, ia, S trsS.", tha NM
numpeF ny os IN nth. ssu n,a.ofa' ,,,b,io az
state institution IN sroa i1st ts ,. a..
Fun name Of ehnd; =. tne cnMa =. oae II
without Dein9 namsa Dsnoe Egg s rstS 80
o Of aes sass' - "''s -'-'N 49,
M M1ls 90 t On. :, tv,n. t,an,et. e. eth.r
,, Wastn hirh one ana o. az nSer in order Of
birth s.,.,... :, :,
LIZ .s s, ~ n.y. S.,,a,n. .,a.,+h A.x
and @ hour: - = '''s's1.
Ees,aence o. tn e i ta5ne ~h,t. eo,ored
indian' t1 eathe Or Ia.t h,-+na.x a.,
arthri.ns ns fsthar: ' .t.ts a. fora,r, oeun-
~ 1uHs -" " " As '!1 '''>>' =
oeeqpdon g aaoner Or DE nartiousr Rtnd q
work. : Or the general nature Of the industry
or business enssged Or employed e IN:
5 assdence Ct n ee etn.r . vnea ooo.,
Age Of mother ct last birthday.
Occupation Of the mother; with stetemsnt
Of e.. nature Of the
y x ssea q eeiisres born 10 this n,ot.'r:
Number Il childr,n bonn Of this mother
now living. ...,..,, .na .,.+ ~. h,r+h
The fact Of attendance ana inst inc D'fen
occurred at the time stateo. - ~.
Date Of making and address OF the person
subscribing ,, ,,,.,, ~
arate &c sns t se' .seh child shall
When tho birth occurs IN any lying.ah nos g.
lpital or IN any private pubic, cnarta pig OF
physician or licensed midwife. the super1n;
and n,1 az the "a Of bd9g
or apartmentNo other than the home Of tee par
" notify the local registrar Of that fact: The
local registrar shan tnen procufe inc n neces-
sary Information ana signature fof proper
Ths atte G physician or midwife shan
deliver to the parents s blank for !. supp,e::
mental report OF the 91ven name tne cnilo
Z not named at the time OF making tho cer-
tincate OF birth: - - 49, ..,,., ava
e. n.rs -. n ioca1 raS1s.
trs sn,,si Ss,ivsgtm tbe rayents Hank for
e1a. .,,nni.rrenta' renort az tho name Such
gupp.sns rano,t .h.1i ba made and Med
with me loGal reg 49, so ont a.. tne vstn
ts,rtv a. fronc The date Of birth the local
tnitty oayy from ahta;n nor ren,a Nv other
meana' 'A''- ' ~ $50 ,.'-''
Sec. T. CERTIFICATE OF DEATH BY
WHOM OBTAINED AND FILED. CON-
TENTS The undertaken. or person acting as
this state shall obtain and ale, with the local
registrar Of the district in which The death
occurs, certificate o. death contaln1ns:
| A statement. authenticated BY tho signature
Of some person cosnlzant OF tho 1ac's' speca-
city. Village or town. with the name Of tho
street .a:id house number. Or IN lieu Thereof
public or state institution, II in such institu-
ton. II in an Industrial or mining camp. or
mine. tho name Of the camp or mine.
child the surname preceded BY Unnamed"
Color or race-as white. colored. Indian.
Single, married, widowed or divorced
DAY. 0''' ' ''' NA~'..' -
A. IN SonTs Or and
erative' employment. statement Of the trade,
parc4 9h h,9d Of work. q the
enra9eA or emnloEed In III 7.E,=sz5