Certificate Number | 247 | | Date Issued |
Child Given Name | Edna Chase |
Barker | Child Surname |
Child Sex | Female |
W | Child Race |
Date of Birth | 11 Jan 1886 |
Gilbert Station Story Co IA | Place of Birth |
Father's Given Name | Chas. |
Barker | Father's Surname |
Father's Occupation | Farmer | | Father's Nationality |
Father's Birth Place | Illinois | 43 | Father's Age |
Mother's Given Name | Harriet Alcinda | Barker | Mother's Maiden Name |
Mother's Surname | Barker | | Mother's Residence |
Mother's Nationality | | Illinois | Mother's Birth Place |
Mother's Age | 39 | 4 | Number of Child This Mother |
Medical Attendant's Name | A. Marshall | Gilbert Station IA | Medical Attendant's Address |