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Form 4B - H.D.C TO BE RETAINED BY PARENTS HEALTH DEPARTMENT OF THE DISTRICT OF COLUMBIA ____________ Certificate of Birth Registration ____________ This is to Certify, That in accordance with an Act to provide for the better registration of births in the District of Columbia and for others purposes, approved in March 1, 1907 the birth of a female child to Sidney F and Doris Blake on July 5, 1928 has been officially registered in the Health office of the district of Columbia, by Ed. Edgar Snowden Record No 313260 Name of Child Doris Sidney Blake NC Fowler M.D., Health Officer. To U. S. GOVERNMENT PRINTING OFFICE: 1929 9——1345a