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Note: !BIRTH:Delayed Birth Cert; #30 1201 State Board of Health, Division of Vital Statistics, Topeka, Kansas, verifies parents names ages, residence, birthplace and occupation, Farmer, and Housewife. Dr. Douglas Bell, attendant physician. Affidavit of evidence from close neighbor, J. R. Henderson, Mother, Govt. Life Insurance Policy #K-49724, dated Sep 1, 1919, showing age as 27 years on above date. Pioneer National Life Ins. Policy #851, dated July 22, 1929, showing age as 36 years on above date. Signed: W. E. Keef. filed Jun 13, 1942 by State Recorder, Minnie Fleming. Signed by same and certified in Topeka, Kansas on June 15, 1942
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