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This is from Treasures of the Past

Delayed Birth Certificates

Name of Child Sex Date of Birth Place of Birth Twin or Triplet, if so born 1st ,2nd or 3rd Present Address Father (name, birth place, lives, occupation) Color Age at childs birth Mother  (name, birth place, lives, occupation) Color Age at childs birth Mother's Children:  A. Number of children born alive and living, B. Previous children born alive but dead, C. Previous children born dead (stillborn) Was Mother Married to Father ? Attendant at Birth File No Registered No Date of Issuance Affidavit 1 Affidavit 2 Affidavit 3 Clerk of Orphans Court Statement of Priest or Minister Other Records Presented Volume
Quehl, Albert Godfred m 24 Mar. 1886 Indiana Indiana Co PA single 312 1/2 S Walnut St New Castle Lawrence Co PA John Quehl born Grossherzpgthum Hessen Germany deceased taylor w 36 Clara Giebley Quehl born Meinz on Rhine Germany deceased housewife w 28 A 4, B 3, C 0 Total 7 yes   1490 86 Dec. Term 1945 11 Feb. 1946 Bertha A Kirkwood (sister in law) 515 Dale Ave Willard Oh signed 28 Nov 1945 William E Marquis 222 Worth St signed 28 Nov 1945 William H Glenn 322 East Washington St signed 28 Nov. 1945   Rev John M Unger St Joseph Church New Castle PA birth record   5
Quehl, Bertha f 4 Jul. 1884 Indiana Indiana Co PA no 417 Court St New Castle Lawrence Co PA John Quehl born Grossherzpgthum Hessen Germany deceased taylor w 34 Clara Giebley Quehl born Meinz on Rhine Germany deceased housewife w 26 A 3, B 3, C 0 Total 7 yes deceased 1792 68 June Term 1949 17 Aug. 1949 Bertha A Kirkwood (sister-in-law) 515 Dale Ave Willard OH signed 4 Apr 1949 S G Lindley New Castle PA signed 4 Apr 1949 B E Sankey New Castle PA signed 4 Apr 1949   Rev John M Unger St Joseph Church 115 S Jefferson St New Castle PA birth record   6

Indiana County, PA