Certificate Number | 29 | | Date Issued |
Child Given Name | Earl Mathew |
McDowell | Child Surname |
Child Sex | Male |
W | Child Race |
Date of Birth | 02 Sep 1884 |
Duff Street Ames Story Co IA | Place of Birth |
Father's Given Name | Robert |
McDowell | Father's Surname |
Father's Occupation | Billiard Hall | American | Father's Nationality |
Father's Birth Place | Cambridge Guernsey Co OH | 51 | Father's Age |
Mother's Given Name | Matilda | Petry | Mother's Maiden Name |
Mother's Surname | McDowell | Duff Street Ames Story Co IA | Mother's Residence |
Mother's Nationality | American | Battle Creek Holmes Co OH | Mother's Birth Place |
Mother's Age | 32 | 3 | Number of Child This Mother |
Medical Attendant's Name | Jane, Mrs. Barndollar | Ames IA | Medical Attendant's Address |
Certificate Signer's Name | Jane, Mrs. Barndollar | Ames IA | Certificate Signer's Address |
Returned by Name | J.L., Mrs. Bartlett | | |