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The code of the city of Charlottesville, Virginia

containing the Charter as amended and re-enacted as a whole (approved March 14, 1908), the constitutional and legislative provisions of the state relating to cities, and the general ordinances of the city enacted as a whole August 6th, 1909, in effect September 1st, 1909
  
  
  

  
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Sec. 392. Same—form of.
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Sec. 392. Same—form of.

In order to secure uniformity and dispatch in the registration
herein provided for, the books shall contain, on the margin of
each page, printed titles, with corresponding blanks suitable for
entries for births and deaths, in the following order: Births.
Full name of child (if any shall have been conferred), sex, color,
full name of father, full name of mother, day, month, and year
of the birth, street and number of house where born, name of the
physician or other person signing the certificate, and his or her
residence. Deaths. Full name of the deceased, color, sex, age,
married or single, occupation, birthplace, date of death, cause of
death; when an infant unnamed, the name of the father and
mother, ward, street and number of house, and date and place
of burial.