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Name of Child: Helen Gould Tyner
Sex: Girl - White                   No. of child of this mother: 7
Date of Birth: 8/23/09
Place of Birth: Marie, OK
Born Alive: Yes                   Legitimate: Yes
Natural Labor: Yes
Difficult Labor: -----
Cause of Difficult Labor: -----
Means of Relief: -----
Mother's Maiden Name: Annie M. May
Mother's Age: 33 Birthplace: Tex
Father's Name: J.L. Tyner
Father's Age: 37 Occupation: Farmer
Father's Birthplace: Georgia
Returned by: J.I. Buckmaster, M. D.
Postoffice Address: Marie, OK
Date of Return: 8/31/1909