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Birth Certificate for Max Sheldon Payne

Name: Max Sheldon Payne
Gender: Male
Birth Date: 17 Aug 1921
Birth Place: Frankfort, Clinton, Indiana, USA
Registration Year: 1921
Father: Lester C. Payne
Mother: Opal Patchett
Certificate Number: 41991
Roll Number: 014
Agency: Indiana State Dept. of Health
Volume Range: 79-84

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