TEXAS STATE BOARD OF HEALTH; BUREAU OF VITAL STATISTICS
REG. DIS. NO. 6506 REGISTER NO. 30
PLACE OF BIRTH COUNTY: CLAY; CITY : HENRIETTA
SEX OF CHILD: MALE; TWIN, TRIPLET, OR OTHER: NO; LEGITIMATE: YES
DATE OF BIRTH: FEB 19 1910
FATHER: W.L.BISSENT; RESIDENCE: HENRIETTA, TX
COLOR : WHITE; AGE : 19; BIRTHPLACE :BANDERA CO. TX
OCCUPATION : FARMER
MOTHER: OLLIE PIERCE; RESIDENCE: HENRIETTA, TX
COLOR WHITE; AGE: 20; BIRTHPLACE: KENDALL CO.TX
OCCUPATION HOUSEWIFE
NUMBER OF CHILDREN BORN TO THIS MOTHER, INCLUDING PRESENT BIRTH: 1
-----------------------------------------------
CERTIFICATE OF ATTENDING PHYSICIAN OR MIDWIFE.
I CERTIFY THAT I ATTENDED THE BIRTH OF THIS CHILD,
WHO WAS BORN ALIVE AT 9:30 A.M.
J. A. ALLISON
HENRIETTA, TEXAS
FILED 19 1918, J. F . VADEN(REGISTER)
REG. DIS. NO. 6506 REGISTER NO. 30
PLACE OF BIRTH COUNTY: CLAY; CITY : HENRIETTA
SEX OF CHILD: MALE; TWIN, TRIPLET, OR OTHER: NO; LEGITIMATE: YES
DATE OF BIRTH: FEB 19 1910
FATHER: W.L.BISSENT; RESIDENCE: HENRIETTA, TX
COLOR : WHITE; AGE : 19; BIRTHPLACE :BANDERA CO. TX
OCCUPATION : FARMER
MOTHER: OLLIE PIERCE; RESIDENCE: HENRIETTA, TX
COLOR WHITE; AGE: 20; BIRTHPLACE: KENDALL CO.TX
OCCUPATION HOUSEWIFE
NUMBER OF CHILDREN BORN TO THIS MOTHER, INCLUDING PRESENT BIRTH: 1
-----------------------------------------------
CERTIFICATE OF ATTENDING PHYSICIAN OR MIDWIFE.
I CERTIFY THAT I ATTENDED THE BIRTH OF THIS CHILD,
WHO WAS BORN ALIVE AT 9:30 A.M.
J. A. ALLISON
HENRIETTA, TEXAS
FILED 19 1918, J. F . VADEN(REGISTER)
TEXAS STATE BOARD OF HEALTH; BUREAU OF VITAL STATISTICS
REG. DIS. NO. 6506 REGISTER NO. 30
PLACE OF BIRTH COUNTY: CLAY; CITY : HENRIETTA
SEX OF CHILD: MALE; TWIN, TRIPLET, OR OTHER: NO; LEGITIMATE: YES
DATE OF BIRTH: FEB 19 1910
FATHER: W.L.BISSENT; RESIDENCE: HENRIETTA, TX
COLOR : WHITE; AGE : 19; BIRTHPLACE :BANDERA CO. TX
OCCUPATION : FARMER
MOTHER: OLLIE PIERCE; RESIDENCE: HENRIETTA, TX
COLOR WHITE; AGE: 20; BIRTHPLACE: KENDALL CO.TX
OCCUPATION HOUSEWIFE
NUMBER OF CHILDREN BORN TO THIS MOTHER, INCLUDING PRESENT BIRTH: 1
-----------------------------------------------
CERTIFICATE OF ATTENDING PHYSICIAN OR MIDWIFE.
I CERTIFY THAT I ATTENDED THE BIRTH OF THIS CHILD,
WHO WAS BORN ALIVE AT 9:30 A.M.
J. A. ALLISON
HENRIETTA, TEXAS
FILED 19 1918, J. F . VADEN(REGISTER)
REG. DIS. NO. 6506 REGISTER NO. 30
PLACE OF BIRTH COUNTY: CLAY; CITY : HENRIETTA
SEX OF CHILD: MALE; TWIN, TRIPLET, OR OTHER: NO; LEGITIMATE: YES
DATE OF BIRTH: FEB 19 1910
FATHER: W.L.BISSENT; RESIDENCE: HENRIETTA, TX
COLOR : WHITE; AGE : 19; BIRTHPLACE :BANDERA CO. TX
OCCUPATION : FARMER
MOTHER: OLLIE PIERCE; RESIDENCE: HENRIETTA, TX
COLOR WHITE; AGE: 20; BIRTHPLACE: KENDALL CO.TX
OCCUPATION HOUSEWIFE
NUMBER OF CHILDREN BORN TO THIS MOTHER, INCLUDING PRESENT BIRTH: 1
-----------------------------------------------
CERTIFICATE OF ATTENDING PHYSICIAN OR MIDWIFE.
I CERTIFY THAT I ATTENDED THE BIRTH OF THIS CHILD,
WHO WAS BORN ALIVE AT 9:30 A.M.
J. A. ALLISON
HENRIETTA, TEXAS
FILED 19 1918, J. F . VADEN(REGISTER)
Gravesite Details
died in San Antonio,Bexar,TX influenza,
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