Birth Certificate Templates  Document Sample scope of work
template
U.S. STANDARD CERTIFICATE OF LIVE BIRTH LOCAL FILE NO.
BIRTH NUMBER:
1. CHILD’S NAME (First, Middle, Last, Suffix)
2. TIME OF BIRTH         3. SEX        4. DATE OF BIRTH
(Mo/Day/Yr) C H I L D
(24 hr)                                                  5.
FACILITY NAME (If not institution, give street and number)
6. CITY, TOWN, OR LOCATION OF BIRTH