Puetz
Certificate No. 8112
Name of Child: William Pitz
Person Writing Report: Theo F Heller, MD, 154 2 Ave
Date of Report: Feb 21, 1896
Name: William Pitz
Sex: Male
Color: White
Date of Birth: Feb 10, 1896
Place of Birth: 131 E 3 St
Father's Name: Gottfried Pitz
Residence: 131 E 3 St
Birthplace: Germany
Age: 35
Occupation: Carpenter
Mother's Name: Sybila Pitz
Mother's Name before Marriage: Sybila Tappent
Residence: 131 E 3 St
Birthplace: Germany
Age: 31 years
Number of previous children: 7
How many now living: 4
Date of Record: Feb 21, 1896