DONALD AUGUST JASTER - QUESTION 3

 3. When and where was your father born?

[typed] See Reverse Side

No. 7747 D

COPY OF BIRTH CERTIFICATE

FIFTY CENTS

Copy of Birth Certificate

Registration District No. 286

DEPARTMENT OF PUBLIC WELFARE

DIVISION OF HEALTH

BUREAU OF VITAL STATISTICS

CITY OF CLEVELAND

STATE OF OHIO

Registered No. 21707

1. PLACE OF BIRTH

    a.    County   Cuyahoga

    b.    City, Village, Township  Cleveland

    c.    Name of hospital or institution: St. John’s Hospital

         Mother’s stay before delivery:In hospital or institution --

                                                         In this community --

2. USUAL RESIDENCE OF MOTHER

    a.    State: Ohio

    b.    County: Cuyahoga

    c.    City or village: Cleveland

         Street No.: West 93rd St.

3.  FULL NAME OF CHILD:  Donald Jaster

4. DATE OF BIRTH: 8-10-1917

5. Sex: Male

6. Twin/Triplet [blank]

7. Number months of pregnancy: [blank]

    7a. Weight at birth: [blank]

    7b. Congenital malformation: [blank]

8. Is mother married? Yes

FATHER OF CHILD

9. Full name: August Jaster

10. Color or race: White

11. Age at time of this birth: 25 years

12. Birthplace: Cleveland, Ohio

13. Usual occupation: Laundry Salesman

14. Industry or business: --

MOTHER OF CHILD

15. Full maiden name: Margaret Sanders

16. Color or race: White

17. Age at time of this birth: 25 years

18. Birthplace: England

19. Usual occupation: Housewife

20. Industry or business: --

21. Children born to this mother not including this child: 0

    a.    How many other children of this mother are now living? 0

    b.    How many other children were born alive but are now dead? --

    c.    How many children were born dead? --

22. Date serologic test for syphilis --

    a.    If none, give reason --

23. Mother’s usual mailing address: West 93rd St.

24. I hereby certify that I attended the birth of this child who was born alive at the hour of A.M. on this date above state and that the information given was furnished by Mrs. Margaret Jaster related to this child as Mother.

25. Registrar’s signature: G. E. Harmon - M.D.

26. Date received by local registrar: Oct. 12, 1922

Signature: Dr. Schneider

Address: St. John’s Hosp.

    I hereby certify that the above is an exact copy of the record of birth of Donald August Jaster which is on file in the Department of Health, Cleveland, Ohio.

    Witness my hand and seal as Local Registrar of Vital Statistics on this 18th day of Nov. 1946. 

/s/ J. G. Smith, Local Registrar

ON REVERSE:

Probate Court, Cuyahoga County, Ohio. Vol. 50B, Pg. 302 Case No. 364302

Filed - 11/15/46

NOTE: Case Number above is not related to Donald Jaster.