CA1428

Delayed Birth Certificate of Amanda Evelyn Clifton
(C. Avis Catalog entry #1428)


https://www.familysearch.org/ark:/61903/3:1:33S7-9PD6-94KQ?i=1459&lang=en


WEST VIRGINIA STATE DEPARTMENT OF HEALTH
DIVISION OF VITAL STATISTICS - CHARLESTON

DELAYED CERTIFICATE OF BIRTH

39908

Full name at birth    Amanda Evelyn Clifton
Date of birth            March 23, 1884
Color or race           White
Sex                          Female
Birthplace                Diana, Webster County, West Virginia
Father                      John F. Clifton
Birthplace                Virginia
Mother                     Jane Baldwin
Birthplace                Virginia

    I hereby declare upon oath that the above statements are true to the best of my knowledge and belief.  (To be signed if possible by the person whose birth is to be registered.)

Signature         Amanda Evelyn Clifton             Address         218 Tomlinson Avenue, Moundeville, West Va.

Subscribed and sworn before me on    6th day of April, 1948    J. D. Clark Notary Public (my com. exp. 8-18-57)

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Abstract of Supporting Evidence
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1. Aff. of Cousin, E. L. Cutlip - March 27, 1945
2. U. S. Social Security Photostatic Application* - February 27, 1937
3. Marriage Record, Webster Co., W.Va., by Clerk - October 26, 1899

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Information Concerning Registrant as Stated in Document
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Birth Date or Age                  Birthplace                              Name of Father              Full Name of Mother

1. March 23, 1884                 Diana, W. Va.                        John F. Clifton                Jane Baldwin (Clifton)
2. March 23, 1884                 Webster Springs, West Va.   John Francis Clifton       Jane Baldwin
3. Age 16 Years                     Webster Co., W. Va.


Additional Information:  * #2  #236-12-9007

Abstractor     Crystal Beckett        Date:    July 27, 1949

Statement of Reviewing Official
I hereby certify that I have reviewed the evidence recorded above and that the information contained therein is as noted in the preceding abstract and there was no previous registration found for this person in the Division of Vital Statistics.

Signature:       Vonnie Stowers            Date signed:   July 27, 1948            Date filed    July 27, 1948
                      Reviewing Official