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| From Birth Register Volume 1 1880-1890 Page 178 |
| Certificate Number | 173 | Date Issued | |
| Child Given Name | Ray | Child Surname | |
| Child Sex | Male | W | Child Race |
| Date of Birth | 28 Jul 1885 | Iowa Center Story Co IA | Place of Birth |
| Father's Given Name | Samuel | Ray | Father's Surname |
| Father's Birth Place | Iowa | 29 | Father's Age |
| Mother's Given Name | Martha | Kurtz | Mother's Maiden Name |
| Mother's Surname | Ray | Iowa Center Story Co IA | Mother's Residence |
| Mother's Nationality | Illinois | Mother's Birth Place | |
| Mother's Age | 23 | Number of Child This Mother |
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