Certificate Number | 679 | | Date Issued |
Child Given Name | Arthur Lee |
Hale | Child Surname |
Child Sex | Male |
W | Child Race |
Date of Birth | 10 Dec 1887 |
Collins Twp Story Co IA | Place of Birth |
Father's Given Name | Howard |
Hale | Father's Surname |
Father's Occupation | Farmer | American | Father's Nationality |
Father's Birth Place | Cook Co IL | | Father's Age |
Mother's Given Name | Eta | Marsh | Mother's Maiden Name |
Mother's Nationality | American | Collins Twp Story Co IA | Mother's Birth Place |
Mother's Age | | 2 | Number of Child This Mother |
Medical Attendant's Name | A.P. Edgar | Collins IA | Medical Attendant's Address |