Marjorie Elizabeth Jacobs

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Birth certificate of Margery Elizabeth Jacobs, 1917 (Cook Co., Illinois)

Registered No. 20618
1. Place of birth: County of Cook, City of Chicago, St. Joseph Hosp.
2. Full name of child: Margery Elizabeth Jacobs
3. Sex of child: F
4. (not a twin)
5. Date of birth: June 21, 1917
6. Father's full name: Archie Dean Jacobs
7. Father's residence: 4633 Dover St.
8. Father's color: Wh
9. Father's age: 24
10. Father's birthplace: Chicago
11. Father's occupation: clerk
12. Mother's full maiden name: Ruth Gould
13. Mother's residence: 4633 Dover St.
14. Mother's color: W
15. Mother's age: 25
16. Mother's birthplace: Chicago
17. Mother's occupation: housewife
18. Number of children born to this mother, including present birth: 1
19. Number of children of this mother now living: 1
20. (attending physician or midwife's attestation), child was born alive at 5:45 am on date stated above.
Filed Jul 6, 1917