Delayed certificate of birth of Mollie Frances Holbrook, with her brother Horace's affidavit, 1930

Two pages. Page 1, the State Board of Health form, filled in sixty years after her birth and filed at Island County on 17 May 1930 as certificate no. 1: Mollie Frances Holbrook, born 4 Dec 1870 at “Penn’s Cove, or Coveland, (San de Fuca),” to Richard Blackmer Holbrook of Plymouth, Massachusetts, farmer, and Harriet Phillips Low of Deer Isle, Maine. Page 2, the affidavit of Horace Holbrook of Coupeville, born 3 Jan 1863, who swears that he is her brother and that the facts are within his own knowledge; sworn before a notary at Coupeville the same day.