Renwick, Melissa Porter
.
P HS-600
12-47
FEDERAL SECURITY AGENCY
PUBl..lC HEAl..TH SERVICE
-
NOTIFICATION OF BIRTH REGISTRATION
NATIONAL OFFICE OF VITAL STATISTICS .
The f~lIowins rec:ord of birth has been rec:eived by the State Registrar:
NAME OF CHILD Melissa Melinda Porter
NAME AND ADDRESS OF MOTHER
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Mrs. R. B. Porter
609 Orange Ave.
tJ.earwater, Fla.
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Certificate No.
109-52-068567
DATE OF BIRTH ___...pecember 29, 1952
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PLACE OF BIR'rH
SEX OF CHILD _
FATHER'S
FULL NAME .-
MOTHER'S
MAIDEN NAME
Tampa,Hillsboro Co.,Fla.
Female
Robert Bartlum Porter
Sylvia Anne Hendry
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(Special Agent, U. S. Public Healtb Service)
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