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BIRTH ANNOUNCEMENT THE LAURENS COUNTY ADVERTISER With Photo 20 Parents: of of Daughter or Son (Full Name): Day/ Date of Birth: Hospital/ Place of Birth: in Mother s Parents: of of Father s Parents: of of Great Grandparents: of of Mother s Maiden Name: Other Children with Ages: Day Phone: Signature: If name of parents and child are not the same, it will be necessary to have the birth certificate showing all three names or a notarized statement from both parents..