Certificate Number | 175 | | Date Issued |
Child Given Name | Archilles M. |
See | Child Surname |
Child Sex | Male |
W | Child Race |
Date of Birth | 01 Jun 1888 |
Iowa Center Story Co IA | Place of Birth |
Father's Given Name | David |
See | Father's Surname |
Father's Occupation | Laborer | | Father's Nationality |
Father's Birth Place | Illinois | 51 | Father's Age |
Mother's Given Name | Anna M. | Lowell | Mother's Maiden Name |
Mother's Surname | | Iowa Center Story Co IA | Mother's Residence |
Mother's Nationality | | Ohio | Mother's Birth Place |
Mother's Age | 43 | 1 | Number of Child This Mother |
Medical Attendant's Name | Frank Thompson | Iowa Center IA | Medical Attendant's Address |