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1. Place of Birth: Fredonia, Coconino County, Arizona
2. Full Name of Child: Lorum, Elmer Jackson
3. Sex of Child: Boy
5. Number in order of birth: 2
6. Legitimate? Yes
7. Date of Birth: Nov 2 1897
8. Father: Robert Alexander Jackson
9. Father's Residence: Fredonia, Arizona
10. Race of Father: White/American
11. Father's Age last birthdate: 27
12. Father's birthplace: Nephi, Juab, Utah
13: Occupation: Stockraising
14: Mother: Estella Pratt
15: Mother's Residence: Fredonia, Arizona
16: Mother's Race: White/American
17: Mother's age last birthdate: 20
18: Mother's Birthplace: Toquerville, Utah
19: Mother's Occupation: Housekeeping
20:Number of children of this mother? 2
a: born alive and now living? 1
b: born alive but now dead?
c. stillborn?
21. Attending MD or Midwife: Mrs. Cox, midwife
22. filed date
23: registrar: |