Sem parish register. Stillborn 1905-1917, Slagen parish.
ID: 19
Church reg. no.: Sem MINI II6
Page: 249
Year: 1906
No.: 2
Date of birth: 29.11
Sex: k
Illegitimate: e
Occuoation (father): Skibsfører
Given name (father): Maurits
Last name (father): Jørgensen
Residence (father): Store Stang
Date of birth (father): 1868
Occupation (mother): Hstr.
Given name (mother): Henrikke
Last name (mother): Andersen
Residence (mother): Store Stang
Date of birth (mother): 1867
Remarks: Gjordemoder
Occupation (notifier): Johanne
Given name (notifier): Adriansen
Last name (notifier):
Residence (notifier): k
Sex (notifier): K: Uden liv. 6te maaned. Anmeldt 1/12.

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