USA > Massachusetts > Middlesex County > Chelmsford > Deposition : births 1897-1918 > Part 1
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org.
DEPOSITION BIRTHS
Acts of 1897, Chapter 444, Sections 14, 15 and 30.
SECTION 14. Whenever the record relating to a birth, marriage or death in the records of any city or town does not contain all the facts required for record, or when it is alleged that the facts are not correctly stated in such record, the clerk of such city or town shall receive a deposition under oath, made by one who was required by law to furnish the information for the original record, or, at his discretion, by three or more credible persons having knowledge of the case, containing such facts as are desired for record. Having received such deposition he shall then file the same, and record said facts in a separate book to be kept for recording such depositions, adding thereto the name and residence of the deponent and the date of such record, and shall there- upon draw a line through the incorrect statements without erasing them, and enter upon the original record the facts needed to amend the record, and forthwith, if a copy of the record has been sent to the secretary of the Commonwealth, forward a certified copy of the corrected record to the secretary upon blanks provided by him for the purpose, who shall thereupon amend the record in his office, and state in the margin thereof his authority for so doing. Reference to the record of the deposition recorded shall be made by the clerk against the original record. The clerk when furnishing a copy of such record shall certify to the facts contained in the record as amended, and shall state in addition that the certificate is issued in accordance with the provisions of this act, and a copy of this section shall be printed on every such certificate. Such deposition, or a certified copy of the record of any other city or town, or of the record made at the time by any person since deceased who was required by law to furnish the evidence of a birth, marriage or death may, at the discretion of the clerk, be made the basis for the record of a birth, marriage or death not previously recorded, and such copy of record may also be made the basis for completing the record of a birth, marriage or death which does not contain all the required facts.
SECTION 15. Any person who wilfully makes a false return in regard to any birth or death shall forfeit not exceeding fifty dollars.
SECTION 30. Any of the oaths required by any of the provisions of this act may be administered by the clerk or assistant clerk of any city or town in his official capacity.
SPECIAL NOTICE.
Depositions are to be made on the blanks contained in this book, in which they are to be preserved.
When a deposition relates to the records of some other city or town, it is to be made on one of the blanks furnished for the purpose and forwarded to the clerk of that city or town.
Note that in making corrections, a line is to be drawn through incorrect state- ments without crasing them, and that if a copy of the erroneous record has been sent to the Secretary of the Commonwealth, a certified copy of the corrected record must also be forwarded.
Commonwealth of glassachusetts.
No /
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose S and says that the record relating to the birth of Dorating Parkhurst Hall in the Tour of Thecus ford (Name of child.) (City or town.) (Name of city ar town.) does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : - -
Date of birth, September 26-1898
Name of father,
William & Hall
Name of child Dorothy Parkhurst Hall
Sex, Firmale
Color, White
Condition (twin, &c.),
Place of birth, Chelmsford
Maiden name of mother,
Hortense( Parkhaus)
Residence of parents, . Chiles Jord (at time the birth occurred. )
Occupation of father,
Pattern Make
(at time the birth occurred.)
Birthplace of father,
Checars ford
Birthplace of mother,
Ghans ford
SIGNATURE. Hm, & fall
RESIDENCE. (City or town, street and number, if any.)
Precisford
Relation to child, if any. Father
LittleTon Street
1
Date, Avec 8 - 189?
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by.
Recorded July 8 189
Good. Partners, TownCom
(''ity or town.)
Of frems ford Mass.
Commonwealth of Massachusetts.
No.
of
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath deposes and says that the record relating to the birth of Forrest Sherman White
in the Tour of Chelmsford.
(Name of child.)
(City or town.)
(Name of city of town.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : -
Date of birth, September 2, 19.03.
Name of child, Forrest Sherman White
Sex, Male
Color, archite
Maiden name of mother,
Cena E. Dustin
Residence of parents,
Chelmsford
(at time the birth occurred. )
Occupation of father,
Fraughteman
(attime the birth occurred.)
Birthplace of father,
Hudson N. H.
Birthplace of mother,
LEE N. H.
SIGNATURE.
George F. White
RESIDENCE.
(City or town, street and number, If any.)
No Chelmsford
Relation to child, if any. Father
Date, april 28, 1904
Then personally appeared before me the person whose signature appears above and made
oath that the statements subscribed to by him are true.
Eduard J. Bobbing Con Clerk: (City or town.)
Recorded apr. 28, 1944
Of __ Chelmsford Mass.
Condition (twin, &c.),.
Place of birth,
Chelmsford
Name of father,
George S. White
Commonwealth of Massachusetts.
No.
3
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap, 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record relating to the birth of Katherine Ping Hall in the Town of 4 helmejord (Name of chlid.) (City or town.) (Name of city/or town.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record :
Date of birth, January 26, 1903
Name of child, Katherine King Hall.
Sex, Female White
Maiden name of mother.
Hortense Parkhurst
Residence of parents,
(at time the birth occurred
Fraughtsman
Occupation of father,
(at time the birth occurred.)
Birthplace of father,
Chelmsford
Place of birth,
Imeford
Birthplace of mother,
Chelmsford
SIGNATURE. William H. Hall
RESIDENCE.
(City or town, street and number, if any.)
Chelmsford
Relation to child, if any. Father
Date, august 5, 1964
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by him are true.
Recorded ang. 5, 1904
Edward . atting them (City or town)
Clerk.
Of . .. Chelmsford Mass.
Name of father,
Gilliam H. Hall
Color,
Condition (twin, &c.), Świn
Commonwealth of Classachusetts.
No. 4
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath deposes and say that the record relating to the birth of Nellie Lois Parle
(City or town.) (Name of city or town.) . (Name of child.) in the Town of Chelmsford
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : -
Date of birth,
abril 18, 1904
1
Name of father
I. Theodore Parle
Name of child, Nellie Lois Parlee
Maiden name of mother,
. Nellie Storme.
Residence of parents,
Thelmalad
(at time the birth occurred.)
Occupation of father,
Carpenter
(at fitne the birth occurred.)
Birthplace of father,
New Brunswick
Birthplace of mother,
England
SIGNATURE.
L'Theodore Parle
RESIDENCE.
(City or town, street and number, if any.)
Chelmsford
Relation to child, if any. Father
Date, May 2, 1905.
Then personally appeared before me the person whose signature appears above and made
oath that the statements subscribed to by - him are truc.
Odward J. Robbins (gir or town.)
Clerk.
Recorded
Of Chelmsford Mass.
Sex, Female
Color, It hite
Condition (twin, &c.), Jwvin
Place of birth,
Chelmsford
5
Commontucalth of Massachusetts.
No. 5
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record relating to the birth of Israel & ayotte (Name of/child.) in the Town of Chelmsford
(City or town.) (Name of clty or/town.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : -
Date of birth, November 3, 1891
Name of child, Serael . ayotte
Sex , male
Color, White
Maiden name of mother,
Exilda Lambert
Residence of parents,
Chelmsford
(at time the birth ogeurred.)
Occupation of father,
Farm Laborer
(at time the birth occurred.)
Birthplace of father,
Canada
Birthplace of mother,
Canada
SIGNATURE, anthony his X ayotte
RESIDENCE.
(City or town, street and number, if any.)
Chelmsford
Relation to child, if any. Father
Date, august 11, 1906
Then personally appeared before me the person whose signature appeare above and made
oath that the statements subscribed to by hum are true.
Edward J. Rolling Town Clark
Recorded
Of Chelmsford Mass.
Condition (twin, &c.),
Place of birth,
Chelmsford.
Name of father,
anthony . Carotte
Commonwealth of Classachusetts.
No.
6
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap, 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record relating to the birth
of Thomas Jeffery Hoare
in the Jown of Chelmsford
Name of child. )
(City or town.) (Name of city or town.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : -
Date of birth, February 4, 1881
Name of child, 1. Thomas Jeffery Hoare
Sex, male.
Color, White
Occupation of father,
farmer
(at time the birth occurred.)
Birthplace of father,
Cengland
Birthplace of mother,
England
SIGNATURE.
RESIDENCE.
(City or town, street and number, if any.)
James Brown 15 Ohney St. 20wall mark
Relation to child, if any. Father
Date, September 10, 1906
Then personally appeared before me the person whose signature appear above and made oath that the statements subscribed to by him are truc.
Edward Jobbing Town Clerk
(City of town. y
Recorded
Of Chelmsford Mass.
Condition (twin, &c.), ....
Place of birth,
Chelmsford
Name of father,
James B. Hoare
Maiden name of mother,
Rachel Jeffery
0010
Residence of parents, ....
Chelmsford
(at time the birthi occurred.)
Commonwealth of Massachusetts.
No.
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record relating to the birth Ruth Crisere Hunter .in the Vown of Chelmsford
(Name of child.)
(('ity or town.)
(Name of clty or town.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record :
Date of birth, March 12, 1893
Name of father,
William R. Hunter.
Name of child,
Ruth Criesie Hunter
Maiden name of mother.
Crissie S. Staples
Residence of parents
No. Chelmsford
(at time the birth ogcurred.)
Oceupation of father,
Paving-cutter
(at-time the birth occurred.)
Birthplace of father,
Scotland
Birthplace of mother,
Canada
SIGNATURE, William H. Hunter, North Chelmsford
RESIDENCE.
(City or town, street and number, if any.)
Relation to child, if any. Chatice
Date, June 22, 190 7
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by him .are true.
Edward Rafting
. Clerk.
"City of towH.)
Recorded
Of
Mass.
Sex, Feriale
Color,
Condition (twin, &c.),
Place of birth, ".
North Chelmsford
No. 8
Commonwealth of Classachusetts.
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record relating to the birth of Charles Edward Wat (Name of child.) in the Town of Chelmsford
(City or town.) (Name of city/or town.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : --
Date of birth, July 16, 1904
Name of child, Charles Edward Tratt
Sex,
Color, White
Condition (twin, &c.),
Place of birth,
Unelmara Mase.
Name of . father Grave " Hatt-
Maiden name of mother auric
Residence of parents,
thehnout Man.
(at time the birth occurred.)
Occupation of father,
Carpenter
(at time the birth occurred.)
Birthplace of father, ,
Birthplace of mother, amman Poraine
SIGNATURE.
RESIDENCE. (City or town, street and number, if any.)
Relation to child, if any.
Date, Jeman
Then personally appeared before me the person whose signature appear above and made outh that the statements subscribed to by The are true. Edward I. Rolling Clerk.
Recorded
(City or town.)
Mass.
2472
Commontocalth of Massachusetts.
No.
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH.
(St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record relating to the birth
(Name of child.) in the Crown of Chelmsford
(City or town.) (Name of city of town.)
does not fully and correctly state all the faets relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : -
Date of birth, July 11, 1109
Name of child, 7 Idie houve Bradley
Maiden name of mother, aquitho L Sex, Minute
3 Bullock
Residence of parents,
(at time the birth occurred.)
Color, 2 hits
Occupation of father,-
Narenner
/ (at time the birth occurred.)
Birthplace of father,
Beckmanntown N. 210
Birthplace of mother,
New Brunavier
SIGNATURE.
RESIDENCE. (City or town, street and number, if any.)
Relation to child, if any.
Date, tiernan
Then personally appeared before me the person whose signature appears above and made
oath that the statements subscribed to by him are true. Edward & Rotting (('ity or tuwu.)
Clerk
Recorded
Of Ancora Mass.
Condition (twin, &c.),
1
Place of birth, heime 'and
Name of father, Seine 2. Bracia
Commonwealth of Massachusetts.
No. 10
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath deposes and say that the record relating to the birth of alfred Idans Byam
(Name of cht!do in the Town of ... Chelmsford
(City or town.) (Name of city or town.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : -
Date of birth, June 0 1852
Name of father,
: George a. Byany
Name of child, Arnold adama Byum
Maiden name of mother,
Residence of parents, ...
Chelmsford Marz
(at time the birth occurred.) A U
Color, Ithit
Occupation of father,
gauyer
(át time the birth occurred.)
Condition (twin, &e.), ...
Birthplace of father,
Chelmsford
Place of birth, ...
Birthplace of mother,
Chelmsford
SIGNATURE.
RESIDENCE. (City or town, street and number, if any.)
Relation to child, if any.
Date,
Then personally appeared before me the person whose signature appear above and made oath that the statements subscribed to by are true.
Clerk
(City or town.)
Recorded
Of
Mass.
Sex, male
Commontocalth of Massachusetts.
No. 11
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record relating to the birth
(Name of child.) in the (City or town.) (Name of city or town.) L 1 does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : -
Date of birth, July 11, 1886
Name of child, Hay Sinewh Shoulding Byany
Sex,
Color, ichit
Condition (twin, &e.),
Place of birth, ...
Chelmsford back.
Name of father, George i. Byjam
Maiden name of mother.
Residence of parents,
(at time the birth oeeurred.)
Occupation of father,
à aurier
(at time the birth oeeurred.)
Birthplace of father,
Birthplace of mother,
Chelmsford Mars.
SIGNATURE.
RESIDENCE. (City or town, street and number, if any.)
Relation to child, if any.
Date,
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by him are true.
. Clerk.
(City or town.)
Recorded
Of
Mass.
Commonwealth of Massachusetts.
No.
12
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record, relating to the birth OM robert Edward Coughlin .. in the John of _- Ohelmet and (Name of child.) (City or town.) (Name of city or town.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : -
Date of birth, Nov. 19, 1908
Name of child, Robert Edward longhi
Maiden name of mother.
Mary Carmichael
Chelmsford
Color,
White
Occupation of father,
Gransee (Halen, mill)
(at time the birth occurred.)
Birthplace of father,
Ireland
Place of birth.
Chelmsford mars.
Birthplace of mother,
Small mass.
SIGNATURE. Imichael& Coughlin.
RESIDENCE. (City or town, street and number, if any.)
Chelmsford
...
Relation to child, if any. Father
Date, august 5, 1910
Then personally appeared before me the person whose signature appears above and made
oath that the statements subscribed to by him are truc. Odvar
Clerk.
(City or IgnIN)
Recorded
Of
Mass.
Name of father
michael. Coughlin
Sex, male
Residence of parents,
-
(at time the birth occurred.)
Condition (twin, &c.),
62
Commonwealth of Classachusetts.
No. 13
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath deposes and says that the record relating to the birth of James
(Name of child.) mullin in the Town of Chelmsford (City or town.) (Name of city of town.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : -
22
Date of birth,
ang 20,
1897
Name of child,
James Mullin
Sex, male
Color,
White
Condition (twin, etc.), ..
Place of birth,
Chelmsford mac,
Name of father,
John Mullin
Maiden name of mother
Mary Burke
Residence of parents,
Chelmsford
(at time the birth occurred.)
Occupation of father,
Hoolen -chine
Birthplace of father,
(at time the birth occurred.)
Ireland
Birthplace of mother,
Ireland
SIGNATURE.
John hillin
RESIDENCE.
(City or town, street and number, if any.)
Chelmsford
Relation to child, if any. Father
Date, September 30, 1911
Then personally appeared before me the person whose signature appears above and made
oath that the statements subscribed to by him .are true.
Recorded
Edward . Rolling
Clerk
d'ity or ident. )
Of Chelmsford
Mass.
57
Commontocalth of Classachusetts.
No.
14
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath deposes and says that the record relating to the birth
of Lyman. a. Byjam in the Crownof ... Chelmsford (Name of child.) (City or town.) (Name of city of town.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record :-
Date of birth, January 1, 1875
Name of child, Lyman a. Byam
Sex, male
Residence of parents,
So. Chelmsford man
(at time the birth occurred.)
Farmer
Occupation of father,
(at time the birth occurred.)
Birthplace of father,
So. Chelmsford mais
Condition (twin, &c.) , ...
Place of birth,
So. Chelmsford mars.
Birthplace of mother,
Boxborough man
SIGNATURE.
RESIDENCE.
(City or town, street and number, if any.)
Relation to child, if any.
frank & Bjam.
So Chelmsford Father
Date, March 31, 1913
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by him are true.
Edward J. Rothing (Aty or town.)
Clerk
Recorded
Of Chelmsford Mass.
Name of father, ..
Frank C. Byam
Maiden name of mother,
amelia F. Hetherbec
Color,
White
57
Commonwealth of atlassachusetts.
No.
15
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record relating to the birth of Selma Florence Bengtzon in the Town of thelmaford (Name of child.) (City or town.) (Name of city or toryn.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : -
Date of birth, Oct. 8, 1899
Name of father,
alexander a. Bengtzon
Name of child, Selma Florence Bengtsson Maiden name of moth
matilda Larcon
Sex, Female
Residence of parent
Nast Chelmsford
(at time the birth occurred.)
Color,
White
Occupation of father,
Stone-cutter
(at time the birth occurred.)
Condition (twin, &c.),
Birthplace of father,
Sweden
Place of birth,
Host Chelmsford
Birthplace of mother,
Surden
SIGNATURE,
RESIDENCE.
(City or town, street and number, if any.)
Relation to child, if any. Father
Alexander 4. Bengtzon N. Chelmsford
Date, Oct 25, 1913
Then personally appeared before me the person whose signature appear above and made oath that the statements subscribed to by him ... arc truc.
Echoand I. Rotting
Clerk.
Recorded
Oct. 25, 1913
¿City or town.)
Of Chelmsford
Mass.
67
Commonwealth of Classachusetts.
No.
16
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record relating to the birth of Choali Francia Mullin in the (Name of child.) (City or town.) .. of (Name of city or town.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of facts omitted or incorrectly stated in said record : -
Date of birth, Sept. 20, 1898
Name of father
John Mullin
Name of child harlee Francis Hellin
Maiden name of mother,
Mary Bruke
Residence of parents,
the lin ford
(at time the birth occurred.)
Occupation of father,
Horole-Sfinner
(at titne the birth occurred.)
Birthplace of father,
Ireland
Birthplace of mother, (
1
helind
SIGNATURE.
John Mullin
RESIDENCE.
(City or town, street and number, if any.)
- Chelmsford
Relation to child, if any. -Father
Date,
Hov.
5, 1913.
Then personally appeared before me the person whose signature appears above and made
oath that the statements subscribed to by are truc. Edward /11 Rotfry
Clerk.
Recorded
Of
Mass.
Sex, male
Color. While
Condition (twin, &c.),
Place of birth,
Chelon ford
1
Commonwealth of glassachusetts.
No. 11
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH.
(St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record relating to the birth of Charles Frederick Baldwin in the Town of ... Chelmsford
(City or town.) (Name of city ør town.) , (Name of child.)
does not fully and correctly state all the facts relating to said birth, and that the following is a true statement of faets omitted or incorrectly stated in said record : -
Date of birth, ZUlay 16, 1895
Name of father,
Charles H.
Name of child, Frederick Guy Baldwin
Maiden name of mother,
Hunnis In.
Residence of parents,
Chelmsford
(at time the birth occurred.)
Occupation of father,
farmer
(at time the birth occurred.)
Birthplace of father,
Lowall Mark.
Birthplace of mother,
Stone n. B.
SIGNATURE.
RESIDENCE.
Relation to child, if any.
(City or town, street and number, if any.)
Uncle
1) Date, Connar 29 1914.
Then personally appeared before me the person (whose signaturd appears above and made
oath that the statements subscribed to by him are truc. Edward . Rolling Clerk
Recorded
January 29, 1914
(City of town.)
Of Chelmsford Mass.
Sex,
Color,
Débute
Condition (twin, &c.),
Place of birth,
Chelmsford
r
Frederic G. Baldwin Lowell Mass.
١٠٠٠
8.5-
No. 18
Commontocalth of Massachusetts.
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record relating to the birth of Josephine Margaret Higgins in the Crown of Chelmsford
Need help finding more records? Try our genealogical records directory which has more than 1 million sources to help you more easily locate the available records.