STATE OF HAWAII CERTIFICATE OF LIVE BIRTH DEPARTMENT OF HEALTH
FILE 151 61. 10641.
in UMBER
TIa. Child's First Name (Type or print) lb. Middle Name Re, Last Name
BARACK HUSSEIN OBAMA, II
º: * | |3. This Birth x T 3. Hºrº, #.h Month Day *: 55. Hour 7
Male singleſ; Twin D Triple:D leiſ] 2nd[] 3rd C. Date August 4. 1961 7:24 P.M.
Place of Birth: City, Town or Rural Location 6b. Island
Honolulu Oahu
º ame of Hospital or Institution (If not in Hospital or institution, give street address) * Is Place of Birth Inside City or Town Limits?
Kapiolani Maternity & Gynecological Hospital *. *** district
#Tsual Residence of Mother: City, Town or Rural Lºcation 7b. Island 7e. County and State or Foreign Country
Honolulu Oahu Honolulu, Hawaii
7d. Street Address Residenee Inside City or Town Limits?
nº give judicial district
6085 Kalanianaole Highway
7ſ, Mother's Mailing Address
|7g. Is Residence on a Farm of Finution;
Ye:D N.C. Y. º
9. Race of Father - - º
F.TFull Name of Father T
| hour stated above.
BARACK HUSSEIN OBAMA African 1
10, Age of Father | 11. Birthplace (Island, state or Foreign Country)|12a. Usual Occupation |-|12b. Kind of Business or Industry - |
25 enya, East Africa ºr - Student * University -º- º
13, Full Maiden Name of Mother - |-|14. Race of Mother - -
STANLEY ANN DUNHAM - Caucasian
I5. Age of Mother 16. Birthplace (Island, State or Foreign Country) 17a. Type of Occupation Outside Home During Presmºney 17b. Date Last Worked
- ||
18 Wichita, Kansas None - o
I certify that the above stated 18a; 2Sºature are ºf or Other Informant Parent [º 18b. Date of Signature
information is true and correct P (. º & & 6 /
to the best of my knowledge. Other º *~ 7-4
19a. Signature ttendant 27 Sºlºb. Date of Signature
I hereby certify that this ehild
was born alive on the date and
* M.D.
2 / º D.O. Lºſ
- - Midwife Lº * ſ /
ºf: - º º_ Other [ ]
20. Date Accepted by Local Reg. 21. Signature of Local Registrar * - 22. Tºrs # Reg. General
AUG -8 (354 ) J \(-0-4.
23. Evidence for delayed Filing or Alteration
CERTIFY THIS IS A TRUE COPY OR
ABSTRACT or Tºe RECORD ON FILE IN
THE HAWAIISTATE DEPARTMENT OF HEALTH
R 2 011 * -
AP 52 (UJ-2 I. O-º-º-º- , W.P.
STATE REGISTRAR
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