Local Registration District and Certificate Number |
1 200144 001538 |
This Child: Name |
Rachel Nightingale Clift |
Sex |
Female |
This Birth |
Single |
Date of Birth |
06/08/2001 |
Hour (24 Hour Clock Time) |
1052 |
Place of Birth - Name of Hospital or Facility |
Sutter Maternity & Surg Ctr |
Street Address |
2900 Chanticleer Ave. |
City |
Santa Cruz |
County |
Santa Cruz |
Planned Place of Birth |
Hospital |
Father: Name |
Bruce Peter Clift |
State of Birth |
TX |
Date of Birth |
07/27/1962 |
Mother: Name |
Karin Elizabeth Gottlieb |
State of Birth |
OH |
Date of Birth |
08/28/1963 |
Informant |
Karin Clift, Bruce Clift, Parents |
Signed |
06/08/2001 |
Certification of Birth: Attendant |
Janna Doherty MD |
License Number |
A064380 |
Signed |
06/08/2001 |
Address |
2915 Chanticleer Avenue, Santa Cruz |
Local Registrar |
Ruth Montalio |
Date Accepted for Registration |
06/19/2001 |