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| From Birth Record Volume 3 1897-1908 Page 106b |
| Child Given Name | Dorotha | Hendricks | Child Surname |
| Child Sex | Female | Child Race | |
| Date of Birth | 25 Jan 1904 | Maxwell, Iowa | Place of Birth |
| Father's Given Name | J.M. | Hendricks | Father's Surname |
| Mother's Given Name | Jennie | Hendricks | Mother's Maiden Name |
| Transcription Comment... |
| Year of birth corrected by affidavit of mother 3512 Wesley, Culver City, Cal. 4-25-41. |
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