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| From Birth Record Volume 3 1897-1908 Page 188b |
| Child Given Name | Henrietta Mae | Nelson | Child Surname |
| Child Sex | Female | Child Race | |
| Date of Birth | 03 Jun 1902 | Sheldahl | Place of Birth |
| Father's Given Name | Henry Cornelius | Nelson | Father's Surname |
| Mother's Given Name | Myrtle May | Bates | Mother's Maiden Name |
| Transcription Comment... |
| Affidavit of mother. |
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