USA > Massachusetts > Franklin County > Leverett > Deposition - Births 1852-1918 > Part 3
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SECTION 15. Whoever wilfully makes a false return relative to a birth, marriage or death shall forfeit not more than fifty dollars.
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SECTION 28. An oath which is required by the provisions of this chapter may be adniinistered by the clerk or assistant clerk of a city or town.
R. 12. 7-'16. 1000.
The Commonwealth of Massachusetts
No 14
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. Jahn
(Name of child.) in the James of Inverett masi
(City or town.) YName 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, aug 21 st 1921
Name of child, Barbera mikalierza)
Sex .....
Color, White
Occupation of father,
Farver
(At time the birth occurred.)
Birthplace of father, .
Russar
Birthplace of mother,
SIGNATURE. Auk. ettitaliana)
RESIDENCE. (City or town, street and number, if any.)
Relation to child, if any. Father
Date, DEE 28 1921
Then personally appeared before me the person whose signature appear above and made
oath that the statements subscribed to by Him are true.
Israel Taylor (City or town.)
Clerk.
Recorded
Of.
Mass.
Name of father, alix mikalieas
Maiden name of mother, Ever Perfect
Residence of parents,
(At time the birth occurred.)
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. Sueh 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. 15
DEPOSITION CORRECTING RECORD RELATIVE TO A BIRTH. (Revised Laws, Chap. 29.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
The undersigned on gath depose and say that the record relating to the birth of Myra Stebbins Field (valich the access of Leverett (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 8 1877
Name of father,
Orange E. Field
1
Ella L. Ingram
Maiden name of mother,
Residence of parents,
Leverett, Mass
(At time the birth occurred.),
Farmer
Occupation of father, ..
(At time the birth occurred.)
Birthplace of father,
Leverett, Mass
Birthplace of mother,
Leverett, Mais
SIGNATURE. mande E Fickol ambert, mass.
RESIDENCE.
(City or town, street and number, if any. )
Relation to child, if any. Sistem
Date, Ankerst Max March 22, 1922
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by her are true.
Susan J. Khilaku
Recorded mar. 23, 1922
Zuy Commission exfra gran 11, 1926.
Of
Clerk. my bed .. Mass.
Name of child, Myra Stebbins Field
Female
Sex,.
Color,
While
Condition (twin, &c.),
Place of birth,
neverett, mais.
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 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 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 inade 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.
16
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 Mabel Gertrude Harrington in the town of (Cit) or town.) (Name of city or town.)
Leverett , 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 27-1893
Name of child, Mabel g. Harrington
Sex. female
Color, white
Occupation of father,
blacksmith
(At time the birth occurred.)
Birthplace of father,
north Leverett, mass
Birthplace of mother,
Enfield, mass
SIGNATURE.
RESIDENCE. (City or town, street and number, if any. )
Relation to child, if any.
John W Harrington Enfield Class
Farther
Date, July 14th 1922
Then personally appeared before me the person whose signature appear above and made
oath that the statements subscribed to by trin are true. Edwin Atfour
Recorded July 14
1922
(City or town.) Justin of the Place clerk
Mass.
Of
Name of father,
John w. Harrington
Maiden name of mother,.
Winnie Hanke
Residence of parents,
Leverett, mass
(At time the birth ocenrred.)
Condition (twin, &c.),
Place of birth,.
Leverett, mass
Vo.
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 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 17
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (Revised Laws, Chap. 29.)
of
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.) The undersigned on oath depose and say that the record relating to the birth florence Etta Harrington in the town of Leverett, mass (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 incorreetly stated in said record :
Date of birth, march 3, 1897
Name of father, John Walter Harrington
Name of child, Florence E. Havington
Sex, female
Color, white
Occupation of father,.
blacksmith
(At time the birth occurred.)
Birthplace of father,.
north Leverett, mass
Birthplace of mother,.
Enfield , mass
SIGNATURE.
RESIDENCE. (City or town, street and number, if any. )
John W Harrington Enfield Mas
Relation to child, if any. Farther
Date, Andy 14 # 192.2.
Then personally appeared before me the person whose signature appear above and made
oath that the statements subscribed to by are truc. Edwin 1Hour
Recorded July 14, 1922
Clerk. (City or town.) Justice of the Place
Mass.
Of.
tiden name of mother Winnie Hanks
Residence of parents,
Leverett, mase
(At time the birth occurred.)
Condition (twin, &c.),
Place of birth,
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 eity 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 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 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 sceretary 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 furnishies 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 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 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 Beth Evelyn Williams in the Joure of werenett. , (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, Aug. 8 898
Name of father, i : cours d'elecareers
Name of child,. Beth Evelyn inhand maiden name of mother, 21. Eric runt 1
Sex Schnale
Color, Wirite
Condition (twin, &c.),
1
Place of birth, reverett
Residence of parents,
vierett
(At time the birth occurred.)
Occupation of father, ...
(At time the birth occurred.)
Birthplace of father,.
Birthplace of mother,
Turfield
SIGNATURE. Lina Q. Williams
RESIDENCE. (City or town, street and number, if any. ) HH Cleveland St, Greenfield I'Mass.
Relation to child, if any. Sister
Date, november 6, 1922.
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by her are true.
Recorded
George R. Rockwood (City or town.) notary Public.
Mass.
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 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 25. 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.
. .
No.
19
The Commonwealth of Massachusetts
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (Revised Laws, Chap. 29.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
of.
The undersigned on oath depose and say that the record relating to the birth Gilbert nie woodard in the tour of everett ...... , (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, May 14, 1922
Name of father, ..
Harold Woodard
Name of child, Filbert- reelwoodard Maiden name of mother
Ethel Beaman
Sex,.
Color, de hrite
Occupation of father, ..
Wood worker
(At time the birth occurred.)
Birthplace of father,
urerett
Condition (twin, &c.),
Place of birth,
Sunderland
Birthplace of mother,
Leverett.
SIGNATURE. Harold Woodard
RESIDENCE. (City or town, street and number, if any.) Leverett, Mais.
Relation to child, if any. FiThe
Date,
May 11, 1923
whose signature appear 5 above and made are true.
F. H. Taylor (City or town. Clerk.
Recorded May 14 1923
Of leverett Mass.
Then personally appeared before me the person oath that the statements subscribed to by tim
Residence of parents,
riverett
(At thine the birth occurred.)
DEPOSITION
CONCERNING THE BIRTH
OF
quien - ve !vovda-d
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 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 discretion of the eity or town clerk, by one or more eredible 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 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 faets 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 aniend 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 suchi 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 niade 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 elerk or assistant clerk of a city or town.
R. 12. 7-'16. 1000.
The Commonwealth of Massachusetts
No.
2$
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (Revised Laws, Chap. 29.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
of
The undersigned on oath depose and say that the record relating to the birth
Herbert Deleon etherlig the.
of nowtion, (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. 24, 1907
Name of father,
Edgar vv. Dretherber
Name of child, Herbert N. Whetherbee
Maiden name of mother,
nina Thodes.
Leverett, Mass.
Residence of parents,
(At time the birth occurred.)
Occupation of father ..
(At time the birthy oconirred.)
Birthplace of father,
Enfield, Mass.
Condition (twin, &c.),
Place of birth,
Leverett, Mass.
Birthplace of mother,
Pelham, Mas.
SIGNATURE. RESIDENCE. (City or town, street and number, if any. ) Edgar At thetherbee No. Grosvenor atale
Relation to child, if any. Parent
boun.
Date, July 3rd, 1923
Then personally appeared before me the person whose signature appear above and made
oath that the statements subscribed to by an are true.
Recorded
(City or town.) I. Elliott. Clerk.
July 9, 192 3
Of
Thompson
bonn.
Sex, .... Male
Color,
White
No. 21
DEPOSITION
CONCERNING THE BIRTH
OF
Herbert nelson Wetherlice
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 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 clerk, by one or inore credible persons having knowledge of the case. He shall file such affidavit and reeord 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 elerk on the margin of the original record. If the clerk furnishcs a copy of such rceord, 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 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 diseretion 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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