Submitted by: Lance McPherson

HEALTH DEPARTMENT—CITY OF BALTIMORE
CERTIFICATE OF BIRTH
D69328
(1) PLACE OF BIRTH
City of Baltimore
St.
Joseph Hospital
No. Caroline & Valley St.
(2) FULL NAME OF CHILD
Prismas
(3) Sex of Child
Female
(4) Twin, triplet, or other?
(Blank)
(5) Number in order of birth
(Blank)
(6) Legitimate?
Yes
(7) Date of
Birth
Month: 7
Day: 31
Year: 1930
FATHER
(8) FULL NAME
Charles Prismas
(9) RESIDENCE
Backer Canal, Balt. County
(10) COLOR
White
(11) AGE AT LAST BIRTHDAY
26 Years
(12) BIRTHPLACE
Maryland
(13) OCCUPATION
Plumber
MOTHER
(14) FULL MAIDEN NAME
Edith
Prismas
(15) RESIDENCE
Backer Canal, Balt. County
(16) COLOR
White
(17) AGE AT LAST BIRTHDAY
22 Years
(18) BIRTHPLACE
Maryland
(19)
OCCUPATION
Housewife
(20) Number of children born to this mother,
including present birth
1
(21) Number of children of this mother now
living
(Blank)
CERTIFICATE OF ATTENDING PHYSICIAN
(22) I hereby
certify that I attended the birth of this child, who was born alive at 9:00 a.m.
on the date above stated.
(24) Given name added from a supplemental report
(Blank)
(23) Signature of Physician
- Kennedy M.D.
- Address: St.
Joseph Hospital
Registrar: (Signature not legible)
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