Transcription of image of certified copy sent to H. DeVoe by Susan Charman, May 2007

When and where born: Sixth November 1895 / White Hurworth, Wingate Rd.
Name: Charlotte Ann
Sex: Girl
Name and surname of father: (slash)
Name, surname and maiden name of mother: Jane Troup / No Occupation
Occupation of father: (slash)
Signature, description and residence of informant: X The mark of Ann Troup / Present at the birth / White Hurworth Wingate
When registered: Sixteenth December 1895
Signature of registrar: Hannah Baldersone / Registrar