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Slayton's birth certificate. It reads


State of Wisconsin

Department of Health—Burea of Vital Statistics
Copy of Birth Record

Page No. 21-18 (To be filled out by the Register of Deeds)

Place of Birth
County of Monroe
Township of [blank]
  or
Village of [blank]
  or
City of Sparta

Full name of Child: Donald Kent Slayton

Stillborn (Yes or No): No
Was child deformed or physically defective (Yes or No): No
Nature of defect: None

Sex of Child: Male
Color or Race of Child: White
Legitimate? Yes
Date of Birth: March 1st, 1924

Father
Full Name: Charles Slayton
Residence: Sparta, R.F.D. 6
Color or Race: White
Age at Last Birthday: 36 (years)
Birthplace: Leon
Occupation (Nature of Industry): Farming

Mother
Full Maiden Name: Victoria Larson
Residence: Sparta, R.F.D. 6
Color or Race: White
Age at Last Birthday: 29 (years)
Birthplace: Leon
Occupation (Nature of Industry): Housewife

Number of children of this mother (Taken as of time of birth of child herein certified and including this child)
(a) Born alive and now living: 1
(b) Born alive but now dead: 0
(c) Stillborn: 0

What preventative for ophthalmia neonatorum did you use? Ag No. 3

Certificate of Attending Physician or Midwife*:
I hereby certify that I attended the birth of this child, and that it occurred on March 1st, 1924 at 5:40 A.M. on the date above stated.

(*When there was no attending physician or midwife, then the father, householder, etc., should make this return. A stillborn child is one that neither breathes nor shows other evidence of life after birth.)

Signature: C.M. Beebe, M.D., Phys.
Address: Sparta, Wis.
Filed: Mar. 6, 1924
V.W. Stiler, M.D., Registrar

Given name added from a supplemental report Feb. 11, 1938
Persis R. Smith, Registrar


 
Slayton's State of Wisconsin birth certificate at Deke Slayton Memorial Space and Bike Museum
Time picture taken Sat Jul 21 14:32:18 2018
Location picture taken Museum Gallery
Deke Slayton Memorial Space and Bike Museum
Sparta, Wisconsin
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