USA > Massachusetts > Franklin County > Leverett > Deposition - Births 1852-1918 > Part 2
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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.
R. 12. 7-'16. 1000.
The Commonwealth of Massachusetts
No. 7
DEPOSITION CORRECTING RECORD RELATIVE TO A BIRTH. (Revised Laws, Chap. 29.)
(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 Herbert Charles glazier in the town of Lercielt
(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, Oct. 29, 1895
Name of child, Herbert Charles glazier
Sex, male
Residence of parents,
Leverett.
(At the the birth occurred.)
Color, white.
Occupation of father,
Laborer
(At time the birth occurred.)
Birthplace of father,
Leverett
Condition (twin, &c.),
Place of birth,
Leverett
Birthplace of mother,
Stanford Ut.
SIGNATURE.
RESIDENCE. (City or town, street and number, if any. )
Relation to child, if any.
6 hurdes 1 0.
Leverett
Father
Date,
Then personally appeared before me the person oath that the statements subscribed to by me
nov. 11, 1918
whose signature appear above and made are truc.
Israel Taylor Boun Clerk.
(City or town.)
Recorded nov. 11, 1918.
Of
Mass.
Name of father,.
Charles W. glazier
Maiden name of mother Laura S. Strope
1
No.
DEPOSITION
CONCERNING THE BIRTH
OF
Filed.
.. 19
.
Revised Laws, Chapter 29. * *- -X
*
* *
* *
SECTION 14. If the record relating to a birth, marriage or death does not contain all the required facts, or if it is alleged that the facts are not correctly stated therein, the city or town clerk shall receive an affidavit containing the facts required for record, if made by a person who was required by law to furnish the information for the original record, or, at the discretion of the city or town clerk, by one or more credible persons having knowledge of the case. He shall file such affidavit and record it in a separate book to be kept for that purpose, with the name and residence of the deponent and the date of such record, and shall thereupon draw a line through the incorrect statements without erasing them, shall enter upon the original record the facts required to amend the record and forthwith, if a copy of the record has been sent to the secretary of the commonwealth, shall forward to the secretary a certified copy of the corrected record upon blanks to be provided by him, and he shall thereupon amend the record in his office and state in the margin thereof his authority therefor. Reference to the record of the affidavit shall be made by the clerk on the margin of the original record. If the clerk furnishes a copy of such record, he shall certify to the facts contained therein as amended, and shall state in addition that the certificate is issued under the provisions of this section, a copy of which shall be printed on every such certificate. Such affidavit, or a certified copy of the record of any other city or town or of a written statement made at the time by any person since deceased who was required by law to furnish evidence thereof, 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. Whoever wilfully makes a false return relative to a birth, marriage or death shall forfeit not more than fifty dollars.
*
* *
* *
* * *
SECTION 28. An oath which is required by the provisions of this chapter may be administered by the clerk or assistant clerk of a city or town.
R. 12. 7-'16. 1000.
The Commonwealth of Massachusetts
No. 8
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (Revised Laws, Chap. 29.)
(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 Agnes Grumman Burnap in the records of town of Leverett, (Name of child.) (City or town.) (Name of city or 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 incorreetly stated in said record : -
Date of birth, 100 21 212
Name of father,. Herbert- - noir Burnak
Name of child, gres reenma
Sex, semai
Color, uitule
Condition (twin, &c.),
l'lace of birth,. Leveret
1
Occupation of father, ..
(At time the birth occurred.)
Birthplace of father
Birthplace of mother,
puente
SIGNATURE. .
Min Herbert ~. Bunak
RESIDENCE. (City or town, street and number, if any. ) Enlaque Mais,
Relation to child, if any. mother
Date, ejanuary 1919
oath that the statements subseribed to by her are true.
Then personally appeared before me the person whose signature appear above and made Thomas j. Harrington Clerk. gustave of the Face (City or town.)
Recorded 1 . an. 8. 1419.
Of
Mass.
- Burnafi
Maiden name of mother, Marion Eriza Dergrünen
Residence of parents, everett (At time the birth occurred.) 1
No.
DEPOSITION
CONCERNING THE BIRTH
OF
Filed.
19
.
Revised Laws, Chapter 29. * * * * x
*
* *
SECTION 14. If the record relating to a birth, marriage or death does not contain all the required facts, or if it is alleged that the facts are not correctly stated therein, the city or town elerk shall receive an affidavit containing the facts required for record, if made by a person who was required by law to furnish the information for the original record, or, at the diseretion of the city or town elerk, by one or more eredible persons having knowledge of the case. He shall file such affidavit and record it in a separate book to be kept for that purpose, with the name and residence of the deponent and the date of such record, and shall thereupon draw a line through the incorrect statements without crasing them, shall enter upon the original record the facts required to amend the record and forthwith, if a copy of the record has been sent to the secretary of the commonwealth, shall forward to the secretary a certified copy of the corrected record upon blanks to be provided by him, and he shall thereupon amend the record in his office and state in the margin thereof his authority therefor. Reference to the record of the affidavit shall be made by the clerk on the margin of the original record. If the clerk furnishes a copy of such record, he shall certify to the faets contained therein as amended, and shall state in addition that the certificate is issued under the provisions of this section, a copy of which shall be printed on every such certificate. Such affidavit, or a certified copy of the record of any other eity or town or of a written statement made at the time by any person sinee deceased who was required by law to furnish evidence thereof, may, at the discretion of the elerk, 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. Whoever wilfully makes a false return relative to a birth, marriage or death shall forfeit not more than fifty dollars. * * * * * *
*
*
SECTION 28. An oath which is required by the provisions of this chapter may be administered by the elerk or assistant clerk of a eity or town.
R. 12. 7-'16. 1000.
The Commonwealth of Massachusetts
No.
9
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (Revised Laws, Chap. 29.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose and say that the record relating to the birth Jessie Belle Clark of in the of Nerdham, Mass (Name of child.) (City or town.) (Name of eity or town.) does not fully and correctly state all the facts relating to said birth, and that the following is a trne statement of facts omitted or incorrectly stated in said record : -
Date of birth, Oct. 7.1898
Name of child Jessie Belle Clark
Sex .. Females
Color, white
Condition (twin, &c.),
Place of birth, .. Leverett, Mass
Name of father, Frank N. Clark
Maiden name of mother
Edith Jusipline Cobb.
Leverett, Mass.
Residence of parents,
(At time the birth occurred.)
Occupation of father,.
Ramstur
(At time the birth occurred.)
Birthplace of father,
Milles Falls, mass.
Birthplace of mother,
Walpole n. H.
SIGNATURE. Mrz Edithy Proje
RESIDENCE. (City or town, street and number, if any.) 17 Northfuld &+ Montputin, 27.
Relation to child, if any.
Mother
Dato Monthilin H. Oct 7. 1919
Then personally appeared before me the person whose signature appear above and made
oath that the statements subscribed to by are truc.
Recorded
William n. Thenault Hilary Public. Mass.
Clerk.
Of
No.
DEPOSITION
CONCERNING THE BIRTH
OF
Filed
.. 19
.
Revised Laws, Chapter 29. * * * * * *
* *
SECTION 14. If the record relating to a birth, marriage or death does not contain all the required faets, or if it is alleged that the facts are not correctly stated therein, the eity or town elerk shall receive an affidavit containing the faets required for record, if made by a person who was required by law to furnish the information for the original reeord, or, at the diseretion of the eity or town elerk, by one or more eredible persons having knowledge of the ease. He shall file such affidavit and reeord it in a separate hook to be kept for that purpose, with the name and residenee of the deponent and the date of such reeord, and shall thereupon draw a line through the incorreet statements without erasing them, shall enter upon the original record the faets required to amend the record and forthwith, if a copy of the record has been sent to the seeretary of the commonwealth, shall forward to the secretary a certified copy of the corrected reeord upon blanks to be provided by him, and he shall thereupon amend the record in his office and state in the margin thereof his authority therefor. Referenee to the record of the affidavit shall be made by the elerk on the margin of the original reeord. If the elerk furnishes a copy of such record, he shall certify to the faets contained therein as amended, and shall state in addition that the certificate is issued under the provisions of this scetion, a copy of which shall be printed on every such certificate. Such affidavit, or a certified copy of the record of any other eity or town or of a written statement made at the time by any person sinee deceased who was required by law to furnish evidenee thereof, may, at the discretion of the elerk, be inade 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 faets.
SECTION 15. Whoever wilfully makes a false return relative to a birth, marriage or death shall forfeit not more than fifty dollars.
*
* * *
*
*
* *
SECTION 28. An oath which is required by the provisions of this chapter may be administered by the elerk or assistant elerk of a eity or town.
R. 12. 7-'16. 1000.
The Commonwealth of Massachusetts
No. /0.
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (Revised Laws, Chap. 29.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on oath depose2 and say that the record relating to the birth of Rachel Ida Dicken
in the ms of_ Leveret .... : (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, March 8: 1918
Name of father,
Josephine Jackman
Name of child, Rachel & da Dackwiem
Sex Female
Color,
White
Condition (twin, &c.),
Place of birth,.
Leverett quase
Maiden name of mother,
Nettie State
Residence of parents,
Lercutt
(At time the birth occurred.)
Occupation of father,.
farmer.
(At time the birth occurred.)
Birthplace of father,.
Verrett
Birthplace of mother,
Bernardolot
SIGNATURE.
2
RESIDENCE.
(City or town, street and number, if any. )
Lesrett Back
Relation to child, if any.
Father
Date, Mar. 27.1420
Then personally appeared before me the person whose signature appear< above and made are truc.
oath that the statements subscribed to by num
Israel
(City or town.)
Taylor
Clerk.
Recorded march 27: 1920.
Of
Leverett
Mass.
No.
DEPOSITION
CONCERNING THE BIRTH
OF
Filed
.19
.
Revised Laws, Chapter 29. * *
*
* * * *
*
SECTION 14. If the record relating to a birth, marriage or death does not contain all the required facts, or if it is alleged that the facts are not correctly stated therein, the city or town clerk shall receive an affidavit containing the facts required for record, if made by a person who was required by law to furnish the information for the original record, or, at the discretion of the city or town clerk, by one or more credible persons having knowledge of the casc. He shall file such affidavit and record it in a separate book to be kept for that purpose, with the name and residence of the deponent and the date of such record, and shall thereupon draw a line through the incorrect statements without erasing them, shall enter upon the original record the facts required to amend the record and forthwith, if a copy of the record has been sent to the secretary of the commonwealth, shall forward to the secretary a certified copy of the corrected record upon blanks to be provided by him, and he shall thereupon amend the record in his office and state in the margin thereof his authority therefor. Reference to the record of the affidavit shall be made by the clerk on the margin of the original record. If the clerk furnishes a copy of such record, he shall certify to the facts contained thercin as amended, and shall state in addition that the certificate is issued under the provisions of this section, a copy of which shall be printed on every such certificate. Such affidavit, or a certified copy of the record of any other city or town or of a written statement made at the time by any person since deceased who was required by law to furnish evidence thereof, 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. Whoever wilfully makes a false return relative to a birth, marriage or death shall forfeit not more than fifty dollars.
*
* *
* *
* * *
SECTION 28. An oath which is required by the provisions of this chapter may be administered by the clerk or assistant clerk of a city or town.
R. 12. 7-'16. 1000.
The Commonwealth of Massachusetts
No.
11
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (Revised Laws, Chap. 29.)
(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 Loxances Mikaliunas in the area of (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, ... Da2115 1918
Name of father, CLAY Theirdream'S
Maiden name of mother,
Residence of parents, (At time the birth occurred.)
Occupation of father,.
(At time the birth occurred.)
Birthplace of father,
Birthplace of mother,
SIGNATURE.
RESIDENCE. (City or town, street and number, if any. )
Relation to child, if any.
aleksandra
Date, 15 1980
Then personally appeared before me the person whose signature appear above and made oath that the statements subscribed to by him
are true. Is med
(City or town.) 1
Clerk.
Recorded LEcs!
Of
Mass.
Name of child, alexander michale
Sex,
Color,
Condition (twin, &c.),
Place of birth,
No
DEPOSITION
CONCERNING THE BIRTH
OF
Filed
.19
.
Revised Laws, Chapter 29. * * *
* * *
* *
SECTION 14. If the record relating to a birth, marriage or death does not contain all the required facts, or if it is alleged that the facts are not correctly stated therein, the city or town clerk shall receive an affidavit containing the facts required for record, if made by a person who was required by law to furnish the information for the original record, or, at the discretion of the city or town clerk, by one or more credible persons having knowledge of the case. He shall file such affidavit and record it in a separate book to be kept for that purpose, with the name and residence of the deponent and the date of such record, and shall thereupon draw a line through the incorrect statements without erasing them, shall enter upon the original record the facts required to amend the record and forthwith, if a copy of the record has been sent to the secretary of the commonwealth, shall forward to the secretary a certified copy of the corrected record upon blanks to be provided by him, and he shall thereupon amend the record in his office and state in the margin thereof his authority therefor. Reference to the record of the affidavit shall be made by the clerk on the margin of the original record. If the clerk furnishes a copy of such record, he shall certify to the facts contained therein as amended, and shall state in addition that the certificate is issued under the provisions of this section, a copy of which shall be printed on every such certificate. Such affidavit, or a certified copy of the record of any other city or town or of a written statement made at the time by any person since deceased who was required by law to furnish evidence thereof, 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 inay 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. Whoever wilfully makes a false return relative to a birth, marriage or death shall forfeit not more than fifty dollars.
*
* *
* * * * *
SECTION 28. An oath which is required by the provisions of this chapter may be administered by the clerk or assistant clerk of a city or town.
R. 12. 7-'16. 1000.
The Commonwealth of Massachusetts
No. 12
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (Revised Laws, Chap. 29.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
"The undersigned an oath depose and say that the record relating to the birth of May Sybet Comand in the March of Jevaiste. (Name of child.) (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,. March19 187 Name of father
Theodor Louant
Name of cl Many Sybil
Maiden name of mothe
Mary borris
Residence of parents,
Lerinett
(At time the birth occurred.)
Occupation of father,
black
(At time the birth occurred.)
Shelburne was
Birthplace of fathe,
Condition (twin, &c.),
Place of birth,
Levareit Has
Birthplace of mother,
Wendell was
SIGNATURE. RESIDENCE. (City or town, street and number, if any.) Theodor In Consuat Hadley mass vadors
Relation to child, if any. Heather
Date, may 11 -1921
Then personally appeared before me the person whose signature appear above and made oath that the statements subscribed to by him. are truc. Israel Yayla, Clerk.
Recorded May 11-1921
(City or town,)}
Of Town Leverett Mass.
Sex.
Color, White V
No.
DEPOSITION
CONCERNING THE BIRTH
OF
Filed
19
Revised Laws, Chapter 29. *
*
* * * *
* *
SECTION 14. If the record relating to a birth, marriage or death does not contain all the required facts, or if it is alleged that the facts are not correctly stated therein, the city or town clerk shall receive an affidavit containing the facts required for record, if made by a person who was required by law to furnish the information for the original record, or, at the discretion of the eity or town clerk, by one or more credible persons having knowledge of the case. He shall file such affidavit and record it in a separate book to be kept for that purpose, with the name and residence of the deponent and the date of such record, and shall thereupon draw a line through the incorrect statements without erasing them, shall enter upon the original record the facts required to amend the record and forthwith, if a copy of the record has been sent to the secretary of the commonwealth, shall forward to the secretary a certified copy of the corrected record upon blanks to be provided by him, and he shall thereupon amend the record in his office and state in the margin thereof his authority therefor. Reference to the record of the affidavit shall be made by the clerk on the margin of the original record. If the clerk furnishes a copy of such record, he shall certify to the facts contained therein as amended, and shall state in addition that the certificate is issued under the provisions of this section, a copy of which shall be printed on every such certificate. Such affidavit, or a certified copy of the record of any other city or town or of a written statement made at the time by any person since deceased who was required by law to furnish evidence thereof, 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. Whoever wilfully makes a false return relative to a birth, marriage or death shall forfeit not more than fifty dollars.
*
* * * *
* * *
SECTION 24. An oath which is required by the provisions of this chapter may be administered by the elerk or assistant clerk of a city or town.
R. 12. 7_'16. 1000.
The Commonwealth of Massachusetts
No.
13
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (Revised Laws, Chap. 29.)
(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 spice annie miles in the Power of
(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, Dec 15, 1805
Name of father,
Maiden name of mother,
Residence of parents, (At the the birth occurred.)
Color,
Occupation of father,. (At time the birth occurred.)
Condition (twin, &c.),
Birthplace of father, ..
Place of birth,
Birthplace of mother,
SIGNATURE. Sophie Linie milesky
RESIDENCE. (City or town, street and number, if any.) Sunderland
Relation to child, if any.
Date,
15 1921
Then personally appeared before me the person whose signature appear above and made
oath that the statements subscribed to by her ,truc. Barter IN Fisle
Recorded Oct. 28, 19 21 com tham Mil 22 (Cityof ONT) 1926 future of Peace CIETK.
Of
Mass.
/ .
Name of child, A
Sex, -.
No.
DEPOSITION
CONCERNING THE BIRTH
OF
Filed
.19
Revised Laws, Chapter 29. * * * * *
*
* *
SECTION 14. If the record relating to a birth, marriage or death does not contain all the required facts, or if it is alleged that the faets are not correctly stated therein, the city or town clerk shall receive an affidavit containing the facts required for record, if made by a person who was required by law to furnish the information for the original record, or, at the discretion of the city or town clerk, by one or more credible persons having knowledge of the ease. He shall file such affidavit and record it in a separate book to be kept for that purpose, with the name and residenee of the deponent and the date of such record, and shall thereupon draw a line through the incorrect statements without erasing them, shall enter upon the original record the facts required to amend the record and forthwith, if a copy of the record has been sent to the seeretary of the commonwealth, shall forward to the secretary a certified copy of the corrected record upon blanks to be provided by him, and he shall thereupon amend the record in his office and state in the margin thereof his authority therefor. Reference to the record of the affidavit shall be made by the clerk on the margin of the original record. If the clerk furnishes a copy of such record, he shall certify to the facts contained therein as amended, and shall state in addition that the certificate is issued under the provisions of this section, a copy of which shall be printed on every such certificate. Such affidavit, or a certified copy of the record of any other city or town or of a written statement made at the time by any person since deecased who was required by law to furnish evidence thereof, 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.
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