USA > Massachusetts > Middlesex County > Chelmsford > Deposition : births 1897-1918 > Part 3
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Date, Seht 5, 1916
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by him are true.
68
Clerk
Recorded
Of
(City or town.)
Chelmsford
Mass.
Sex, Female
Color,
White
Condition (twin, &c.),
Place of birth,
Chelmsford
Commonwealth of Massachusetts.
No.
3.5
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 mabel anna Whitlock in the Town 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, December 29. 1903
Name of child,
mabel anna Whitbick
Maiden name of mother.
Anna Vanshan.
Residence of parents,
Chelmsford
(at time the birth occurred.)
Occupation of father,
Flag Station R. P
(at time the birth occurred.)
Birthplace of father,
Conymand n. y
Birthplace of mother,
Balleton Sha n. y.
SIGNATURE.
albers. plulbrok
RESIDENCE.
(City or town, street and number, if any.)
Relation to child, if any. rather
Date,
Sept. 5, 1916
Then personally appeared before me the person whose signature appears above and made
oath that the statements subscribed to by .. him are true.
Edward Robbing
(City or town.)
. Clerk.
Recorded
Of Chelmsford Mass.
Sex,
Female
Color,
White
Condition (twin, &c.),
Place of birth,
Chelmsford
Name of father,
albert S. Whitlick
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 of Frederick Aussell in the Gown of
(City or town.)
(Name of city or yown.)
,
(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 facts omitted or incorrectly stated in said record : -
Date of birth, nov. 11, 1892,
Name of child, Frederick russell
Maiden name of mother.
Sarah Eva Northen
Residence of parents,
Chelmsford
(at time the birth occurred.)
Occupation of father,
milk dealer.
(at time the birth occurred.)
Birthplace of father,
Chelmsford
Birthplace of mother,
Lowill
SIGNATURE.
RESIDENCE.
(City or town, street and number, if any.)
chelmsford
Relation to child, if any. Fatture
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
Color,
White
Condition (twin, &c.),
Place of birth,
Chelmsford.
Name of father
Fired a. Russell
Commonwealth of Classachusetts.
No.
DEPOSITION
CORRECTING RECORD RELATIVE TO A BIRTH. (St. 1897, Chap. 444, Sect. 14.)
(FILL OUT WITH INK. ALL NAMES TO BE IN FULL.)
of foh
The undersigned on oath depose and says that the record relating to the birth John Preckey Fair (Name of child.) 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 : _
Date of birth, ana. 12 1892
Name of child, John Hecke, Far
Sex,
male
Color,
White
Condition (twin, &c.) , ...
Place of birth,
Chelmsford mais
Name of father,
John freemant Frans
Maiden name of mother.
Laborati F. Clayton
Residence of parents,
Chelmsford
(at time the birth occurred.)
Occupation of father,
machinist
(at time the birth occurred.)
Birthplace of father,
Waterbury Nt.
Birthplace of mother,
SIGNATURE. Deborah Ht Harr
RESIDENCE.
(City or town, street and number, If any.)
18 Broadway Lowall Mass
Relation to child, if any. mother.
Date, May 10, 1917
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by. her are true.
Recorded
Edward Mobbing Clerk (ity or town.) Chelmsford Of Mass.
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
Ella Haberman
.in the
Town of
Chelmsford,
of ..
(Name of child.)
(City or town.)
(Name of city or town,y
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, Feb 11, 1899
Name of child,
Ella Haberman
Maiden name of mother,
Emma 6 Kruse.
Residence of parents,
Start Chelive feed
(at time the birth occurred)
Occupation of father,
Foreman
(at time the birth occurred.)
Birthplace of father,
Surden
Birthplace of mother,
Sweden
SIGNATURE. Rudolph Habenman
RESIDENCE.
(City or town, street and number, if any.)
Aset Theline feed
Relation to child, if any. father
Date, (luquet 18, 1917
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by. Avion are true.
Edward I Rolfing
Clerk
Recorded
ang. 20, 1917
Of
(("ity or town.)
Chelmsford
Mass.
Sex, temali
Color,
White
Condition (twin, &c.), ..
Place of birth,
Next Chelmsford
Name of father,
(Rudolph Haberman
Commontucalth 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 and say that the record relating to the birth of scar theodore Abrahamson in the Town of Chelmsford. (Name of child.) (City or town.) (Name of city or tolvn.) 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. 5, 1903
Name of child, Oscar Theodore
Sex, male
Color,
White
Condition (twin, &c.),
Place of birth,
Sheet Chelmsford
Name of father,
Charlesh Abrahamson
Maiden name of mother.
Ida Stroth
Residence of parents,
Chelmsford
(at time the birth ogcurred.)
(Blacksmith
Occupation of father,(
(at time the birth occurred.)
Birthplace of father,
Sweden
Birthplace of mother,
Sweden
SIGNATURE.
RESIDENCE.
(City or town, street and number, if any.)
That I Mirahomson Sheet Chelmsford
Relation to child, if any. Father
Date, Sept. 13, 1917
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by him are true.
Edward Jobbing (City or town.)
. Clerk.
Recorded
Of Chel ford Mass.
Commonwealth of Classachusetts.
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 of Herre L'Heureux (Name of child.) 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 :
Date of birth, march 28, 1905
Name of father
Joseph G. L' Heureux
Name of child, Henri 2 Heureux
Maiden name of mother.
Emelie Grenier
Sex, Diale
Residence of parents,
Chelmsford
(at time the birth occurred.)
Occupation of father,
Machinist
(at time the birth occurred.)
Birthplace of father,
Canada
Birthplace of mother,
Canada
SIGNATURE. Joseph. S. L'heureux
RESIDENCE.
(City or town, street and number, if any.)
Chelmsford
Relation to child, if any. Father
Date, May 27 1918
Then personally appeared before me the person whose signatme
1 appear S above and made
oath that the statements subscribed to by him are true.
Recorded
May 27, 1718
Edward J. Bobbing
(Yty or town.)
Of Chelmsford Mass.
.. Clerk.
Color,
Condition (twin, &c.),
Place of birth,
Chelineford
Commontocalth of Classachusetts.
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 of Gilbert Roscoe Merrill in the Town of Chelmsford
(City or town.)
(Name of city or own.)
,
(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 facts omitted or incorrectly stated in said record : -
Date of birth,
Oct. 7. 1896
Name of father,
George W. merrill
Name of child, Gilbert Roscoe Merrill
Maiden name of mother.
Lillian S. Colum
Sex,
Dale
Residence of parents,
Chelmsford
(at time the birth Occurred.)
Occupation of father,
Blacker with
(at time the birth occurred.)
Birthplace of father,
albany 71. y.
Birthplace of mother,
Tyngsboro mars
Relation to child, if any.
SIGNATURE.
H. Merrill 96 Dingwell St. Love Q.
.
Date, may 31. 1918
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 of town.)
Recorded
Of Chelon food Mass.
Color,
White
Condition (twin, &c.) , ...
Place of birth,
Chelmsford
RESIDENCE.
(City or town, street and number, If any.)
Commonwealth of Classachusetts.
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 of Forrest Hinn Merrill in the Jour 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, april 12, 1900
Name of father,
George W. Merrill
Name of child, Forrest Him merrill
Maiden name of mother, &
Lillian S, Coburn
Sex,
male
Color,
White
Residence of parents,
Chelmsford
(at time the birth necurred.)
Blacksmith
Oceupation of father,
(at time the birth occurred.)
Birthplace of father,
albany n. y.
Condition (twin, &c.),
Place of birth,
Chelmsford
Birthplace of mother,
angebote Mar
SIGNATURE.
co. Mensile
RESIDENCE.
(City or town, street and number, if any.)
96 Dingwall St Lowell
Relation to child, if any.
Date, May 31, 918
Theu personally appeared before me the person whose signature appears. above and made oath that the statements subscribed to by are true.
Recorded
Edward . Robbing Clerk (cky or town .) Chelmsford Of Mass.
1
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.)
of.
The undersigned on oath depose and say that the record relating to the birth Mildred Estable Leach in the Town of Chelmsford
(Name of child.) (City or town.) (Name of city or tony.) 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. 1, 1903
Name of child, (d), Mildred Estethe Beach.
Sex, Female
Color,
22 hit
Condition (twin, &c.),
Place of birth,
Chelmsford
Name of father,
George H Teach
Maiden name of mother.
Grace H. Crocker
Residence of parents,
(at time the birth occurred.)
Occupation of father,
Blacksmith
(at time the birth occurred.)
Birthplace of father,
Perobrest bre.
Birthplace of mother,
Stockton Springs My.
SIGNATURE. mr. Grace. H. LEach
RESIDENCE.
(City or town, street and number, if any.)
He. Chehurford
Relation to child, if any.
Date, June 8, 1918
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by. are true.
Recorded
Edward & Rotting . Clerk. (City ór town.) Chelmsford Of Mass.
Commonlocalth 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 of makel Lucy Leach
(City or town.) (Name of city or (town.) , (Name of child.) in the Town of
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. 1. 1903
Name of child, mabel Lucy Leach
Sex, Female
Color, White
Condition (twin, &c.),
Place of birth,
Chelmsford
Name of father
George H. Leach
Maiden name of mother.
Grace Hd, Crocker
Residence of parents,
Chelmsford
(at time the biggh occurred.)
Occupation of father,
Blackburnth
(at time the birth occurred.)
Birthplace of fathe
Birthplace of mother,
Steckten Springs
SIGNATURE. Mr. Grace Ht Leach
RESIDENCE.
(Clty or town, street and number, if any.)
na. Chelmsford
Relation to child, if any.
Date, Janne 8, 1918
Then personally appeared before me the person whose signature appears above and made
oath that the statements subscribed to by ..
are true.
Edward Y, Rotting
Recorded
Of
.. Clerk. (City of town.) Chelmsford Mass.
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 of Gladere Hagel Leach
in the
Town 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,
DEC. 9, 1905
Name of child,
Gladys Hazel Leach
Sex, Female
Residence of parents,
(at time the birth occurred. )
Occupation of father,
Blacksmith
(at time the birth occurred.)
Birthplace of father,
Protect Inc.
Birthplace of mother,
Steckten Spring 2
SIGNATURE.
In. Grace N. Liach.
RESIDENCE.
(City or town, street and number, if any.)
Do. Chihuafond
Relation to child, if any. macher-
Then personally appeared before me the person whose signature 8 1918
appears above and made oath that the statements subscribed to by her are true.
Recorded
Edward Rolling
Clerk
ACity or town.)
Of
Chelmsford
Mass.
Name of father,
George W. Leach
Maiden name of mother,
Grace Hd. Cracker
Color,
White
Condition (twin, &c.),
Place of birth, .
Chehaford
Date,
Commonwealth of Classachusetts.
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 of Fravred Leonard Oleon in the Town of Chelmsford
(Name of child.) (City or town.) (Name of city or toun.) 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, april 19, 1903
Name of father,
Sven a Olson
Name of child, Halfred Leonard Olson
Sex, male
Residence of parents, ..
Chelmsford
(at time the birth occurred. )
Occupation of father,
Stone cutter
(at time the birth occurred.)
Birthplace of father,
Dividen
Birthplace of mother,
Sweden
SIGNATURE. Iven August Chiron
RESIDENCE.
(City or town, street and number, if any.)
Went Chelmsford.
Relation to child, if any. Father
Date, June- 26, 1918
Then personally appeared before me the person whose signature appear S above and made
oath that the statements subscribed to by
are true. Edward Robbing
Clerk
Tity or town.)
Recorded
Of Chelive food. Mass.
Condition (twin, &c.) , ...
Place of birth,
Chelmsford
Maiden name of mother,
alma Delane
Color,
White.
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 and say that the record relating to the birth of Jennie Seabille Durant in the Town of (City or town.) Chelmsford (Name of city or town.) 9 (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 facts omitted or incorrectly stated in said record : -
Date of birth, may 5, 1900
Name of father
Edward P. Durant
Name of child Jennie Deabelle Durant
Maiden name of mother.
Planche 8. ackroyd
Sex, Female
Residence of parents,
no. Chelmsford
(at time the birth occurred.
Color,
Hnite
Occupation of father,
Paymaster
(at titne the birth occurred.)
Birthplace of father,
no. Chelmsford
Condition (twin, &c.),
Place of birth,
no. Chelmsford
Birthplace of mother,
W. Chelford.
SIGNATURE.
Edward R Duvar 36 Robbins Suces Father
RESIDENCE.
(City or town, street and number, if any.)
Relation to child, if any.
Date, June 29, 1918
Then personally appeared before me the person whose signature appear S above and made
Recorded
Of
oath that the statements subscribed to by him are true. Edward & Robbing Odwar Clerk. {City or town.) Chelmsford Mass.
Commonwealth of Classachusetts.
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 of George Thomas Stewart. „.in the 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, aug. 4, 1904
Name of child, George Thomas Stewart
Maiden name of mother,
Margaret Hood.
Residence of parents,
Chel ford
(at time the birth occurred.)
Occupation of father,
(at time the birth occurred.)
Birthplace of father,
Ireland
Birthplace of mother,
Ireland
SIGNATURE. margaret Stewart
RESIDENCE.
(City or town, street and number, if any.)
Chelmsford
Relation to child, if any. Eather
Date, July 1, 1918
Then personally appeared before me the person whose signature
appears above and made oath that the statements subscribed to by har are true.
Edward Robbing (City or town.)
Clerk.
Recorded
Of
Mass.
Sex male
Color,
White
Condition (twin, &c.),
Place of birth,
Chelmsford
Name of father
George Stewart
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 of Milton Riggs Stewart
in the Tour of Chelmsford (Nanie He 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, March 26, 1907
Name of father
George Stewart
Name of child, milton Riggs Stewart
Sex, make
Residence of parents.
Chehusford
(at time the birth occurred.)
Occupation of father,
Montder
(at time the birth occurred.)
Birthplace of father,
Seeland
Condition (twin, &c.),
Place of birth,
Chehosford
Birthplace of mother,.
Deland
SIGNATURE. margaret Stewart
RESIDENCE. (City or town, street and number, if any.)
Chelmsford
Relation to child, if any. mother
Date, July 1, 19.18
Then personally appeared before me the person whose signature appears above and made
oath that the statements subscribed to by her are true. Edward Mobbing (City or town.) Shel ford
Clerk.
Recorded
Of
Mass.
4 7
Maiden name of mother.
margaret Ifood
Color,
-
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 of Edmund Houd Stewart in the Form 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, any. of 1909
Name of chil
Edmund Hood Stewart
Maiden name of mother,
Margaud Hood
Residence of parents,
Chehaford
(at time the birth occurred. )
Occupation of father,
Moulder
(at time the birth occurred.)
Birthplace of father,
Seeland
Condition (twin, &c.) , ....
Place of birth,
Chelmsford
Birthplace of mother,
leland
SIGNATURE.
margaret Stewart
RESIDENCE.
(City or town, street and number, if any.)
Chelmsford
Relation to child, if any. mother
Date, July 1, 1918
Then personally appeared before me the person whose signature appears above and made oath that the statements subscribed to by her are true. Edward & Robbing Clerk
Recorded
Of
-
Fity or town.) Chelowfod Mass.
75
Name of father,
Gerige Stewart
Sex, male
Color,
White
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 of Carl Frederick Jumer in the (Name of child.)
(City or town.) Town of Chelmsford ( 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,
may 22, 1902
Name of child, Carl Frederick Turner
Maiden name of mother,
er, Emma Pherbert
Residence of parents,
Chelmsford
(at time the birth occurred )
Color,
White
Occupation of father,
Manaque
(at tle the birth occurred.)
Birthplace of father,
England
Birthplace of mother,
Lawrence mas.
SIGNATURE.
James S. Twee 99 Steven A Lawill Halter
RESIDENCE.
(City or town, street and number, if any.)
Relation to child, if any.
Date,
July
6 , 19 18
Then personally appeared before me the person whose signature appears above and made
oath that the statements subscribed to by ne are true. Edward 1- Clerk.
Recorded
(Cits or town.)
Of Chelmsford Mass.
Condition (twin, &c.),
Place of birth,
Chelmsford
Father:James S. Turner
Sex, male
No.
DEPOSITION
CONCERNING THE BIRTH
OF
Filed
189
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 thereupon 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 cer- tificate 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.
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