Certificate Number | 769 | | Date Issued |
Child Given Name | Bertha Viola |
McGrath | Child Surname |
Child Sex | Female |
W | Child Race |
Date of Birth | 13 Jul 1883 |
Colfax Twp Boone Co iA | Place of Birth |
Father's Given Name | Thomas D. |
McGrath | Father's Surname |
Father's Occupation | Farmer | American | Father's Nationality |
Father's Birth Place | Illinois | 32 | Father's Age |
Mother's Given Name | Elizabeth | Anderson | Mother's Maiden Name |
Mother's Surname | McGrath | Boone IA | Mother's Residence |
Mother's Nationality | American | Iowa | Mother's Birth Place |
Mother's Age | 28 | 2 | Number of Child This Mother |
Medical Attendant's Name | J. Bradley | Ames IA | Medical Attendant's Address |
Certificate Signer's Name | J. Bradley | Ames IA | Certificate Signer's Address |
Returned by Name | J. Bradley | | |