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the page "The
Untimely Passing of Mary Patricia Peltzer," click here. |
| Click here for a JPEG image of the original birth-certificate. |
| See important note below about this birth certificate. |
8-11-1992 DATE ISSUED |
I HEREBY CERTIFY THAT THE
ATTACHED IS A TRUE COPY OF A RECORD ON FILE IN THE DIVISION OF VITAL RECORDS ________________________________ STATE REGISTRAR OF VITAL RECORDS |
|
| BALTIMORE
CITY HEALTH DEPARTMENT |
||
| P432 | CERTIFICATE OF LIVE BIRTH | Registered No. 57-33579-D |
| 1. CHILD'S NAME
Mary
Patricia
Peltzer |
|||
| 2. SEX Female |
3A. THIS BIRTH
single |
4A. DATE OF BIRTH
Nov. 8, 1957 |
4B. HOUR
11:40 AM |
| 5. PLACE OF BIRTH
A. Baltimore City, Maryland B. FULL NAME OF HOSPITAL OR INSTITUTION Baltimore, Md. C. Length of Mother's stay in Baltimore |
6. USUAL RESIDENCE OF
MOTHER A. STATE Md B. COUNTY (Carroll - Note: This field was left blank on original.) C. CITY OR TOWN Finksburg D. STREET ADDRESS |
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| FATHER OF CHILD |
|||
| 7. FULL NAME
Samuel Sanders Peltzer,
III |
8. COLOR OR RACE
White |
||
| 9. AGE (At time
of this birth) 39 YEARS |
10. BIRTHPLACE Worthington Valley, Md. |
11A. USUAL OCCUPATION Division Manager |
11B. KIND OF
BUSINESS OR INDUSTRY Industrial |
| MOTHER OF CHILD | |||
| 12. FULL MAIDEN NAME
Emma Loretta Renna |
13. COLOR OR RACE White | ||
| 14. AGE (At time of this birth) 33 YEARS |
15. BIRTHPLACE Ellicotty City, Md. |
16. CHILDREN
PREVIOUSLY BORN TO THIS MOTHER |
|
| 17. INFORMANT AND
RELATIONSHIP TO CHILD (if different from mother) |
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| 18. I hereby certify to the
birth of this child, who was born alive on the date and hour stated
below |
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| Date rec'd by local registrar Nov.
13, 1957 Signature Huntington Williams, M.D., Registrar Given name added ________ by Registrar per ______ |
Signature ______________________ Physician (or midwife) who attended this birth (Midwife) or ____________________________ Chief Asst. Commissioner of Health and Registrar Address _______________________ 7-23-54
|
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| Important Note: According to the Maryland
State Archives Reference & Research website , "When a person is
adopted in Maryland, his/her original birth certificate and index entry
are removed from the files of the Division of Vital Records. The
certificate is filed with the adoption file and becomes part of a
closed record. A new birth certificate is created showing the
adoptive parents as the parents of the child." The birth certificate shown hereinabove is in this category. The original birth certificate has become part of a closed record. |