BURNS, ARTHUR CHARLES
RECORD OF OLD DATE BIRTHS
Texas Department of Health
BUREAU OF VITAL STATISTICS
Certificate of Birth
1. Place of Birth
State of Texas County of Washington City of Brenham
2. Full Name of Child Arthur Charles Burns
3. Male
6. Legitimate Yes
7. Date of Birth November 15, 1892
Father
8. Name August Burns
9. Residence Brenham
10. White
11. Age at time of birth 30 years
12. Birthplace Texas
13. Trade bartender
Mother
14. Name Lena Stephenson
15. Residence Brenham
16. White
17. Age at time of birth 20 years
18. Birthplace Brenham, Texas
19. Trade house wife
20. Number of children father 1
21. Number of children mother 1
I hereby certify to the birth of this child who was born alive at 5 a.m. on the date stated above.
22. Mrs. Emelia Berg Address 4307 Bellvue Ave., Austin, Texas
AFFIDAVIT A
Before me on this day appeared Mrs. Emelia Berg 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 Arthur Charles Burn are true and correct to the best of her knowledge and belief and that she was acquainted with the facts at the time of the event.
Mrs. Emelia Berg
Sworn to and subscribed before me this 5th day of February, 1942.
John F. Nagle
Notary Public in and for Travis County, Texas.
AFFIDAVIT B
Before me on this day appeared Richard O. Giesecke known to me to be the person who signed this affidavit, who on oath deposes and says that the facts stated in the foregoing birth certificate of Arthus Charles Burns are true and correct to the best of his knowledge and belief and that he is acquainted wit the facts and that he is not related to the individual by blood or marriage.
Richard O. Giesecke
Sworn to and subscribed before me, this 5th day of February, 1942
A. J. Wendt
Notary Public in and for Washington County, Texas
RECORD OF OLD DATE BIRTHS
Texas Department of Health
BUREAU OF VITAL STATISTICS
Certificate of Birth
1. Place of Birth
State of Texas County of Washington City of Brenham
2. Full Name of Child Arthur Charles Burns
3. Male
6. Legitimate Yes
7. Date of Birth November 15, 1892
Father
8. Name August Burns
9. Residence Brenham
10. White
11. Age at time of birth 30 years
12. Birthplace Texas
13. Trade bartender
Mother
14. Name Lena Stephenson
15. Residence Brenham
16. White
17. Age at time of birth 20 years
18. Birthplace Brenham, Texas
19. Trade house wife
20. Number of children father 1
21. Number of children mother 1
I hereby certify to the birth of this child who was born alive at 5 a.m. on the date stated above.
22. Mrs. Emelia Berg Address 4307 Bellvue Ave., Austin, Texas
AFFIDAVIT A
Before me on this day appeared Mrs. Emelia Berg 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 Arthur Charles Burn are true and correct to the best of her knowledge and belief and that she was acquainted with the facts at the time of the event.
Mrs. Emelia Berg
Sworn to and subscribed before me this 5th day of February, 1942.
John F. Nagle
Notary Public in and for Travis County, Texas.
AFFIDAVIT B
Before me on this day appeared Richard O. Giesecke known to me to be the person who signed this affidavit, who on oath deposes and says that the facts stated in the foregoing birth certificate of Arthus Charles Burns are true and correct to the best of his knowledge and belief and that he is acquainted wit the facts and that he is not related to the individual by blood or marriage.
Richard O. Giesecke
Sworn to and subscribed before me, this 5th day of February, 1942
A. J. Wendt
Notary Public in and for Washington County, Texas