Cassius Wallace Gould, III

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Birth certificate of Cassius Wallace Gould III

State of Illinois, Cook County / Certificate No. 6100
1. Full name of child: Cassius Wallace Gould
2. Sex: M / Race or color: White
3. Number of child of this mother: 1st / How many now living (in all): 2
4. Date of this birth: Dec 12th, 1908
5. Place of birth: No. 4343 N. Kedvale Ave, Chicago
6. Residence of Mother: No. 4343 N. Kedvale Ave.
7. Parents place of birth
Father: Middleport, N.Y. / age 26
Mother: Ottawa, Ill. / age 23
8. Full name of mother: Edith Louise Gould
9. Maiden name of mother: Edith Louise Bell
10. Full name of father: Cassius Wallace Gould
11. Occupation of father: Asst. traffic manager, Armour & Co.
(signature of M.D.)