Certificate Number | 220 | | Date Issued |
Child Given Name | |
Hill | Child Surname |
Child Sex | Male |
W | Child Race |
Date of Birth | 14 Jul 1889 |
Union Twp Story Co IA | Place of Birth |
Father's Given Name | Oliver |
Hill | Father's Surname |
Father's Occupation | Farmer | | Father's Nationality |
Father's Birth Place | Norway | 40 | Father's Age |
Mother's Given Name | Clara | Seymour | Mother's Maiden Name |
Mother's Surname | | Union Twp Story Co IA | Mother's Residence |
Mother's Nationality | | Norway | Mother's Birth Place |
Mother's Age | 39 | 4 | Number of Child This Mother |
Medical Attendant's Name | J.M. Brown | Cambridge IA | Medical Attendant's Address |