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Name of Child Cornelius Slotemaker
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Date of Birth Jan. 10, 1902
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Place of Birth Lynden, Wash.
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Sex boy
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Color white
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Alive or Still-born alive
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Legitimate or Illegitimate Legitimate
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Mother's Maiden Name Tillie Kramer
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Mother's Age Last Birthday 22
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Color White
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No. of Child Born to this Mother first
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Mother's Birthplace St. Jacobi
Holland
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Father's Name John Slotemaker
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Father's Age Last-Birthday 31
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Color White
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Father's Occupation Farmer
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Father's Birthplace Noord Sharwoude Holland