Certificate of Birth: Willie James Holmes

Privacy Level: Open (White)
Date: About 3 Jan 1941 [unknown]
Location: Savannah, Chatham, Georgia, United States of Americamap
Surnames/tags: Holmes Rudolph
Profile manager: Walid Mujahid private message [send private message]
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Transcription of Willie James Holmes Certificate of Birth [1]:


Certificate of Birth - Georgia Department of Public Health

State File No.: 58870

Registrar's No.: 2314

1. Place of Birth

(a) County: Chatham

(b) City or Town: Savannah, GA

(c) Name of Hosp. or St. Address: Georgia Infirmary

2. Usual Residence of Mother

(a) State: Georgia

(b) County: Chatham

(c) City or Town: Savannah

(d) House No. & or R.F.D. & Box: 819 Kline St

Hour of Birth: 11:25 PM

3. Full Name of Child

Holmes, Willie James

4. Date of Birth

Dec. 31, 1940

5. Sex


6. Twin or Triplet

7. Full Term Pregnancy - If not Give Months Gestation


Is Mother Married to Father of this Child?


Father of Child - 9. Full Name

James Holmes

10. Color


11. Age at Time of this Birth


12. Birth Place of Father

South Carolina

13. Usual Occupation


14. Industry or Business

15. Social Security No.

Mother of Child - 16. Maiden Name

Rosa Mae Rudolph

17. Color


18. Age at Time of this Birth


19. Birth Place of Mother


20. Usual Occupation


21. Industry or Business

22. Social Security No.

23. Was this Child Born Alive?


24. total No. of Children Born to this Mother


(a) Born Alive/Now Living: 1

(b) Born Alive/Now Dead: 0

(c) Born Dead: 0

25. L.R's. Own Signature

Eve L. Righton

26. Date Filed

Jan 3, 1941

Date of Supplemental Report


J7a me

27. I hereby certify that I attended the birth of this child who was born on the date stated above. The personal information as given on this certificat was furnished by

Mr./Mrs.: Rosa Mae Rudolph

Related to this child as: Mother

Attendant's Own Signature: H.F Sharpen/Sharplen/Sharpler/Sharpley/Sharpless M.D

Attendant's P.O Address: Savannah, GA

Date Signed: 1-2-41

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