Missouri Birth & Death Records Database

 

County	Roll Number	Page	Number
Daviess	C 41770	104	1357

Date of Return (Month/Day/Year)	Name of Child Sex No. of Child of this Mother	Race or Color	Date of Birth Place of Birth
03/23/1887	Wm. R. Hicks male fourth	white	03/13/1887 Jackson

Nationality of Father Place of Birth	Age	Nationality of Mother Place of Birth	Age
American Missouri	31	American Missouri	31

Full Name of Mother Maiden Name of Mother Residence of Mother	Full Name of Father Occupation	Name and Address of Medical Attendant Name and Address of Person making Certificate Returned by
H. C. F. Hicks Marland Jackson	John Hicks Laborer	J. B. Marley Jackson

NOTE

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Due to possible errors or discrepancies in this abstract it is recommended that researchers request a print copy. To request a copy of this record, please print a copy of this page and mail it to the Missouri State Archives, PO Box 1747, 600 W. Main Street, Jefferson City, MO 65101 with a check or money order for $1.00 made payable to the Missouri State Archives. Please include a #10 business size, stamped, self-addressed envelope with each request. Please submit one photocopy request at a time.

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