[FORM A.] STATE OF MAINE. CERTIFICATE OF BIRTH. Child's Name John Falvey Rich Date of Birth Place of Birth Tremont maine any, 3, 1915 Sex* male Color white No. of Child, 1st, 2nd, etc. First Living or Stillborn Living Father's Name Frank P. Rich " Birthplace Tremout Color while " Residence Tremout " Occupation Fisherman Mother's Maiden Name Ethel M. halvey " Birthplace Lanrence mass. Color while Dr. T.S. Tapley M. D. Tremout Maine, 19 Use Initial for Sex, Color, etc.