Certificate Number | 106 | | Date Issued |
Child Given Name | Ada Louise |
Storyman | Child Surname |
Child Sex | Female |
W | Child Race |
Date of Birth | 02 Nov 1888 |
Milford Twp Story Co IA | Place of Birth |
Father's Given Name | Geo W. |
Hoyman | Father's Surname |
Father's Occupation | Farmer | | Father's Nationality |
Father's Birth Place | Ohio | 30 | Father's Age |
Mother's Given Name | Flora A. | White | Mother's Maiden Name |
Mother's Surname | | Milford Twp Story Co IA | Mother's Residence |
Mother's Nationality | | Pennsylvania | Mother's Birth Place |
Mother's Age | 26 | 3 | Number of Child This Mother |
Medical Attendant's Name | Geo Stitzell | Nevada IA | Medical Attendant's Address |