Name; Sex; Date, time and place of birth; Weight and length at birth; Race and age of parents; Birth order; Father’s occupation; Mother’s residence; Physician (or attendant)’s certification

DEATH CERTIFICATE

Name; Date and time of death; Race; Age; Place of birth; Parents’ names; Name and address of survivor (or informant); Marital status; Occupation; Place of residence; Cause(s) and place of death; Burial data: If death due to injury: accident, suicide or homicide; Physician (or coroner)’s certification