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So, given that scenario, the charge nurse could have, theoretically, stamped/assigned the certificate number on a blank birth certificate form and given it to the delivery staff to have on-hand in the birthing room to record pertinent information about the birth and have the physician sign the birth certificate after delivery. That process would prevent fraud and save the physician from having to review and sign several birth certificates at a later time.

So if Stanley Ann was admitted after Mrs. Nordyke, then her delivery room and paperwork would have been assigned after Mrs. Nordyke’s.

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It sounds as if you believe that those numbers that we see stamped on the top of the birth certificates were assigned at the hospital and NOT at Hawaii Vital Statistics? Is that what you are saying?

As you may know, there are two numbers BETWEEN the Nordyke twins numbers and Obama's number.

Are you saying that Obama's mother probably not only came to the delivery room AFTER Mrs. Nordyke, she also came into the delivery room AFTER two other mothers, and that is why Obama's number is so far down the list from the Nordyke twins numbers? Thanks.

It sounds as if you believe that those numbers that we see stamped on the top of the birth certificates were assigned at the hospital and NOT at Hawaii Vital Statistics? Is that what you are saying?

Yes, that's what I'm saying.

As you may know, there are two numbers BETWEEN the Nordyke twins numbers and Obama's number.

Yes. If the hospital was assigned a block of certificate numbers, then there have to be two other births recorded for those numbers -OR- one or both of the numbers (10639 &10640) were voided. (If I made a mistake on the paperwork when titling a car, such as mispelling the owner's name, I had to void the registration number I had assigned to that vehicle, assign a new number, and notarize a statement in a DMV book listing the voided registration number. It was required to prevent fraud/abuse by title clerks.)

Yes, that's what I'm saying - if the scenario I posed is accurate and I'm not swearing that it is, only that it is possible based on my personal experience.