Certificate Number | 450 | | Date Issued |
Child Given Name | Geo |
Launsberry | Child Surname |
Child Sex | Male |
W | Child Race |
Date of Birth | 28 Sep 1882 |
Sherman Twp Story Co IA | Place of Birth |
Father's Given Name | John H. |
Launsberry | Father's Surname |
Father's Occupation | Farmer | English | Father's Nationality |
Father's Birth Place | Canada | | Father's Age |
Mother's Given Name | Roxie F. | Danskin | Mother's Maiden Name |
Mother's Surname | Launsberry | Story Co IA | Mother's Residence |
Mother's Nationality | American | Ohio | Mother's Birth Place |
Mother's Age | | 3 | Number of Child This Mother |
Medical Attendant's Name | Jno I. Hostetter | Colo IA | Medical Attendant's Address |
Certificate Signer's Name | Jno I. Hostetter | Colo IA | Certificate Signer's Address |
Returned by Name | Jno I. Hostetter | | |