Josephine Elizabeth Gould

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Birth certificate of Josephine Elizabeth Gould (1916, Illinois)

Registered No. 7409
1. Place of birth: County of Cook, City of Chicago, 1140 Berwyn Ave
2. Full name of child: Josephine Elizabeth Gould
3. Sex of child: F
4. (not a twin)
5. Date of birth: Mch. 8, 1916
6. Father's full name: Harold V. Gould
7. Father's residence: 1140 Berwyn Ave
8. Father's color: White
9. Father's age: 26
10. Father's birthplace: New York
11. Father's occupation: physician
12. Mother's full maiden name: Icellee Denman
13. Mother's residence: 1140 Berwyn Ave
14. Mother's color: White
15. Mother's age: 24
16. Mother's birthplace: Indiana
17. Mother's occupation: housewife
18. Number of children born to this mother, including present birth: 2
19. Number of children of this mother now living: 2
20. (attending physician or midwife's attestation), child was born alive at 8 pm on date stated above.
Filed Apr 21, 1916