STATE OF MICHIGAN
County of Berrien,
St. Joseph, Michigan
CERTIFIED COPY OF RECORD OF BIRTH
I, FRANK X. DUERR, JR., Clerk of the County of Berrien, and of the Circuit Court
thereof, the same being a Court of Record having a Seal, do hereby certify that the following is a copy of the Record of Birth of
Larry Richard Stark
now remaining in my office, and of the whole thereof, viz:
CHILD
SURNAME AND CHRISTIAN NAME.
IF ONE BE GIVEN
DATE OF BIRTH
MALE OR
FEMALE
WHITE. BLACK
MULATTO. ETC
YEAR
MONTH
DAY
21 1910 STARK, LARRY RICHARD
White
Male
Dec.
DATE OF RECORD
RECORD NO.
LOCAL FILE NO.
BIRTH PLACE
Jan. 2, 1942
40-1498
486
Benton Harbor, Mich.
PARENTS
RESIDENCE
BIRTH PLACE OF EACH
FULL NAME OF EACH
Benton Harbor, Mich.
Evanston, Ill
Richard Bernard Stark
Cicero, Ili.
Benton Harbor, Mich.
None en Ruth McCosh
Masseur
Occupation of Father
la Testhmoay Whereof, I havehereunto set my hand and affixed the seal of said Circuit Court,
A. D. 19 55
Мay
31st.
day of
the
Frank X. Duerr, Jr.
FRANK X. OUERR, JR
Clerk.
Deputy Clerk
M-800 DOUBLEDAY BRO4 a co. KALAMAZOO. NICH
FORM No.
