BIRTH CERTIFICATE
 

HARRY CHAFFINS, JR
Transcribed

            Commonwealth of Kentucky, State Board of Health
            Bureau of Vital Statistics, Certificate of Birth 
            Place of Birth: County, Floyd Town of Lackey Ky.
            Full Name of Child: Harry Chaffins Jr.
            Sex of Child: Male
            Date of Birth: Nov. 11, 1930
            Full Name of Father: Harry Chaffins
            Post Office: Lackey, Ky.
            Color or Race: White
            Birthplace: Floyd Co.
            Age at Last Birthday: 38
            Occupation: Miner
            Full Name of Mother: Emma Wiliby (Willoughby)
            Post Office: Lackey, Ky.
            Color or Race: White
            Birthplace: Floyd Co.
            Occupation: Housewife
            Physician: Dr. M. M. Collins

Submitted by Beth Chaffins