Certificate Number | 1038 | | Date Issued |
Child Given Name | |
Morgan | Child Surname |
Child Sex | Male |
W | Child Race |
Date of Birth | 10 Dec 1883 |
Ames Story Co IA | Place of Birth |
Father's Given Name | John |
Morgan | Father's Surname |
Father's Occupation | Farmer | | Father's Nationality |
Mother's Given Name | Nettie | Emery | Mother's Maiden Name |
Mother's Surname | Morgan | Ames Story Co IA | Mother's Residence |
Mother's Age | | 1 | Number of Child This Mother |
Medical Attendant's Name | C.A., Dr. Beverly | Ames IA | Medical Attendant's Address |
Certificate Signer's Name | C.A., Dr. Beverly | Ames IA | Certificate Signer's Address |
Returned by Name | C.A., Dr. Beverly | | |