Application for Delayed Birth Certificate
Date12/13/1966
MediumInk on paper
Dimensions3 1/2 x 8 1/2 in. (8.9 x 21.6 cm)
ClassificationsDocumentary Artifact
Catalog number2006.42.14
DescriptionThis document is the top fold of a form to order a delayed certificate of birth, perhaps kept or returned as a record because the top is filled in with fee-received information. It is for Irene Elias born August 26, 1902 in Tempe, AZ, and is addressed to Irene Rodriguez from AZ Dept. of Health, Vital Statistics.Status
Not on view
c. 1980
circa 1900
c. 1920
April 22, 1986
c. 2005