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Tuesday, Dec. 10, 2013

Birth Announcement

Submit your engagement announcements to The Brazil Times. Announcements will appear on the Community Page (typically Page 4) in Wednesday editions of the paper. Please include an e-mail and phone number so we may contact you with questions regarding spelling, etc., so we can include all the correct information.

If you have any questions, contact Robin Yocom at 812-446-2216, Ext. 236, or 1-800-489-5090.

Child's name:

Phone Number and/or e-mail address for us to contact you with questions:

Sex of the child:
Male
Female

Names of the parents:

Parents city of residence:
If the parents live in different cities, please specify for each.

Date of birth:

Time of birth:

Place of birth:

Weight:

Length:

Maternal Grandparents:

City of residence of maternal grandparents:

Paternal Grandparents:

City of residence of paternal grandparents:

Names and ages of siblings:

Additional Information:

Attach photo: