The URL can be used to link to this page

Home My WebLink About0867 ~ ~ ~ ~GCER '~Ot~~ C~fRK CIRWitT ~ ~ 1lftARD Yff~IFt~~.~,~,r~ tEr S 3 s~ ~I'~3 262954 i Certify that the photograph on the reverse side is a ` ~rue photocopy_of the original record filed in the Office ~ of Ytal Statistics. North Carolina State Board of Health, E ~ Vd.~ Page • ~ Date Issued 2-~ State Registrar ~ . ~ . ~ - ~~.~ARp:. • . ~ `.....:,~'F ' ~ ~~~~~-74Vi~ ~ ti- ~ ~ ~~r. w ~ t L• ~ . .~7~~~,.~a •j~ j~~ L'fl~~z~?;:~ C. ;lt.i,?~'~`~• ' ' ~r ~ r : ~ , ! . s , -:,?u. c. ~ ~ . _ ; . t{_. yy:^~- • _ ; ~:f~~ . . ~ ~ ~ . i_ ' ~ y£ . ' . ~ r. j~., i~ t'°`. ~ ' . _ _ - i ~ - _ -~,=~-r = ~ , ~ ~ ~ . r3 w? yr '".s°: ~'v+.~'i . ~ _ ~ti ~ ~'ic ~ ~ p~rC ~ ~ V~1~~~ f/1YC ~ _ . . C86d~ ~ ~ - - - ` ~R ~k ~ - ~ ~ r~ ~ . ~ ~ ~ :`=~u~ ' _ _ .