STATE OF OHIO
Bureau Vital Statistics
CERTIFICATE OF BIRTH
PLACE OF BIRTH
County: Franklin
City of Columbus
No. 959 E. Mound St.
Registration District No. 186
File No. 27984
Primary Registration District No. 5025
Registered No. 971
2 Ward
FULL NAME OF CHILD Dorothy Leach
Sex of Child F
Legitimate? yes
Date of birth Apr 3 10
FULL NAME FATHER Charles Albert Leach
RESIDENCE 959 E Mound St.
COLOR W
AGE AT LAST BIRTHDAY 29 Years
BIRTHPLACE Delaware Co., O.
OCCUPATION Lawyer
FULL NAME MOTHER Hazel Kirk Thatcher
RESIDENCE 959 E Mound St.
COLOR W
AGE AT LAST BIRTHDAY 25 Years
BIRTHPLACE Kingston. Ohio
OCCUPATION Housewife
Number of child of this mother 1st
Number of children, of this mother, now living one
CERTIFICATE OF ATTENDING PHYSICIAN OR MIDWIFE
I hereby certify that I attended the birth of this child, and that it occurred on April 3rd 1910 at 1:10 PM
Signature _____[Illegible]___MD__
(Physician or Midwife)
Address 572 E Main St.
Filed 4-9-1910
John W Keegan
Registrar
___________________________________________________
I hereby certify that the above is a photostatic copy of the original certificate of birth of Dorothy Leach which is registered and preserved in the Vital Statistic Division of the Ohio Department of Health.
Witness my hand and seal as Chief of the Vital Statistics Division this the 9th day of February 1953
No. 601078
__[Illegible]__________
Chief, Vital Statistics Division