Hance Manul Boyd

Texas Department of Health Bureau of Vital Statistics Certificate of Birth
1. PLACE OF BIRTH _________________________________
STATE OF TEXAS COUNTY OF San Jacinto______________________________
2. FULL NAME OF CHILD________Hance Manul Boyd ______
3. SEX male	If Plural Births 4. Twin, Triplet, or Other__________ 5. Number, in Order of Birth ______	6. Legitmate? yes	7. Date of Birth October 22, 1877___19__
FATHER 8. Full Name ___Robert Zedock Boyd _________________ 9. Residence at Time of This Birth San Jacinto County, Texas 10. Color or Race White 11. Age at Time of This Birth __29_ 12. Birthplace __Mississippi_________________________ 13A. Trade, Profession, or Kind of Work Done __Farmer____ 13B. Industry or Business in Which Work Was Done _Farm__		MOTHER 14. Full Name __Francis Semmie Gray _________________ 15. Residence at Time of This Birth San Jacinto County, Texas 16. Color or Race White 17. Age at Time of This Birth __35__ 18. Birthplace __Louisiana___________________________ 19A. Trade, Profession, or Kind of Work Done Housewife____ 19B. Industry or Business in Which Work Was Done _Home__
20. Number of Children of This Mother Including This Child__________6____________		21. Born Alive and Now Living _______________6________________________________
22. I hereby certify to the birth of this child, born alive at ________3A________M on the date stated above. Signature ________J.C.McShan__________ Address _______rt.2, Cleveland, Tex____________________
WHEN A BIRTH OCCURS IN THE FAMILY OF AN EX-SERVICE MAN, the State Board of Health requests the medical attendant to fill out the following blank in order that the compensation due the family of an ex-service man because of such birth may be more quickly settled. (1) Is the father reported to have been in such service? ________________ (4) Name of mother, if a widow ____________ (2) Name of organization in which service was rendered __________________________________ Postoffice address ____________________ (3) Serial Number of Discharge Papers or Adjusted Service Certificate ________________________________ Information furnished by ______________ The Local Registrar who accepts a certificate of a birth in the family of an ex-service man, is requested by the State Board of Health to notify the nearest American Legion Post immediately.
(Note: Fill in only affidavits appearing on birth certificate, and the Order of the Court.) MEDICAL ATTENDANT'S AFFIDAVIT STATE OF TEXAS } } COUNTY OF__________ } Before me, the Undersigned Authority, on this day appeared: _____________________________________________, known to me to be the person who signed the foregoing certificate, who on oath desposes and says: that he/she was the attendant at this birth, and that he/she is filing on this date this certificate of birth of ____________________________who was born on the ____________day of ____________, ________, in lieu of a certificate that cannot now be found, or which was not filed at the time, and that the facts stated in the certificate attached hereto are true and correct to the best of his/her knowledge and belief. Signed____________________________________________ Sworn to and subscribed before me, this ____________day of ____________, 19_________ (SEAL) __________________________________________ Notary Public in and for _____________ County, Texas
AFFIDAVIT A STATE OF TEXAS } } COUNTY OF Montgomery } Before me on this day personally appeared _______________J.C. McShan_________________known to me to be the person who signed the certificate attached hereto, who on oath deposes and says that the facts stated in the foregoing birth certificate of _______Hance Manul Boyd____________are true and correct to the best of his/~~her~~ knowledge and belief and that he/~~her~~ knowledge and belief. Signed____________________________________________ Sworn to and subscribed before me, this ______12________ day of _______July_____, 1941 (SEAL) ______J.L. Telford___________________________ Notary Public in and for _____Montgomery__County, Texas
AFFIDAVIT B STATE OF TEXAS } } COUNTY OF Montgomery } Before me on this day personally appeared ___________W.B. Everitt, M.D._________________known to me to be the person who signed the certificate attached hereto, who on oath deposes and says that the facts stated in the foregoing birth certificate of _______Hance Manul Boyd____________are true and correct to the best of his/~~her~~ knowledge and belief and that he/~~her~~ knowledge and belief. Signed____________________________________________ Sworn to and subscribed before me, this ______12________ day of _______July_____, 1941 (SEAL) ______W.B. Everitt, M.D._______________________ Notary Public in and for _____Montgomery__County, Texas
STATE OF TEXAS } } COUNTY OF San Jacinto } THE BIRTH CERTIFICATE OF __________________Hance Manul Boyd__________________ attached hereto, was submitted to this Court that this record be accepted/~~or not accepted~~ by the State Registrar for filing in the State Bureau of Vital Statistics. Attest:______________________________________ Signed ___________W.G. Ritchey___________________Judge Date________________July 14, 1941_____________ County Court of ____San Jacinto___________________County. Filed for record the __14___day of ____July____1941 at 9____o'clock A M., and recorded this 14 day of July 1941 at___________________10______o'clock ___A___M. ___________Jim D. Browder_______________________ By ___Lottie F. Price________ Deputy _________________ county Court San Jacinto County, Texas.