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Partial Transcript

1	Where was the child born?	[Illegible] Winnipeg
2	What is the child’s full name?	Kondratiuk, Annie
3	Male or Female?	Female
4	Was this a single, double or other plural birth?	Single
5	Was the chilid born alive?	Yes
6	Are the parents married?	Yes
7	When was the child born?	14 August 1906
8	Full name of father?	Prokip Kondratiuk
9	Residence of father	Winnipeg
10	Racial origin of father	White
11	Age of father (at last birthday)	40 yrs at the time of the birth
12	Birthplace of father	Galicia
13	Occupation of father	Labourer
14	Full maiden name of mother	Anna Shul
15	Residence of mother	Winnipeg
16	Racial origin of mother	White
17	Age of mother (at last birthday, in years)	37 yrs at the time of birth
18	Birthplace of mother	Galicia
19	Children of this mother	Born alive 4; Now living 4
20	Occupation of mother	None
21	Was this birth premature or not?	Unknown
22	Where were the parents married?	Galicia
23	When were they married?	June 14th, 1891
24	Name and address of attending physician	Unknown
25	Relationship of informant to child	Guardian
26	Were you in the house at the time of birth?	No
27	Your signature and exact location of your residence	Children’s Aid Society of Winnipeg
28	The Date	[?] /4/27

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