Birth Certificate of Nina Lou Williams
(C. Avis Catalog entry #413)
(Document ID #661)
TEXAS DEPARTMENT OF HEALTH
BUREAU OF VITAL STATISTICS
CERTIFICATE OF BIRTH
1. PLACE OF BIRTH:
State of Texas
County of Ellis
City of Maypearl
2. Full Name Of Child: Nina Lou Williams
3. Sex: Female
4. n/a
5. n/a
6. Legitimate?: Yes
7. Date of birth: October 27, 1912
Father:
8. Full Name: James Franklin Williams
9. Residence: Maypearl, Texas
10. Color or race: White
11. Age: 38 years
12. Birthplace: Benton County, Miss
13. Occupation: Farmer
Mother:
14. Full Maiden Name: Lucinda Elizabeth Stafford
15. Residence: Maypearl, Texas
16: Color or race: White
17. Age: 35 years
18. Birthplace: Pine Grove, Benton County, Miss
19. Occupation: Housewife
20. Number of children born to this mother including this birth: 11
21. Number of children born to this mother and now living: 10
I certify to the birth of this child who was born alive at 1:25 am on the date stated above
Signature: E. J. Smith
Address: 4333 Westridge, Ft. Worth, Texas
------------
(In attached Affidavit A, E. J. Smith appeared before a notary attesting to the birth, dated July 2, 1958)
(In attached Affidavit B, W. T. Snell appeared before a notary attesting to the above facts, dated July 2, 1958)
(The certificate was approved for filing with the State Bureau of Vital Statistics by Judge Milton Hartsfield of Ellis County, dated July 3, 1958)