Walters-Cole Family History
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 Missouri Birth & Death Records Database
[ Permanent Record of Births]
CountyRoll NumberPageNumber
St. ClairC 9978 17
Date of Return
(Month/Day/Year)
1. Name of Child
2. Sex
3. No. of Child of this Mother
Race or Color1. Date of Birth
2. Place of Birth
24/June/18841. Walters,White1. 21/June/1884
2. Male2. Butler twp
3. Third
 
1. Nationality of Father
2. Place of Birth
Age1. Nationality of Mother
2. Place of Birth
Age
1. Kentucky341. Missouri24
2. Madison Co.2. Cooper Co.
 
1. Full Name of Mother
2. Maiden Name of Mother
3. Residence of Mother
1. Full Name of Father
2. Occupation
  1. Name and Address of Medical Attendant
     
  2. Name and Address of Person making Certificate
     
  3. Returned by
1. Martha Ellen Walters1. Leroy C. Walte[r]1.
2. Fry2. Farmer2. J.P. Wright, M.D. Lowry City, Mo.
3. St. Clair County, Mo.3.
 
NOTE
 

Due to possible errors or discrepancies in this abstract it is recommended that researchers request a print copy of the record by contacting archref@sosmail.state.mo.us