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Form 4A H.D.C TO BE RETAINED BY PARENTS HEALTH DEPARTMENT OF THE DISTRICT OF COLUMBIA BH ____________ 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 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 313,260 Name of Child NC Fowler M.D., Health Officer. To Mrs. Sidney Blake Columbia Hospital, City.