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From Birth Register Volume 1 1880-1890 Page 202 |
Certificate Number | 128 | Date Issued | |
Child Given Name | Shearer | Child Surname | |
Child Sex | Female | W | Child Race |
Date of Birth | 01 Feb 1889 | Collins Twp Story Co IA | Place of Birth |
Father's Given Name | Father's Surname | ||
Father's Birth Place | 38 | Father's Age | |
Mother's Given Name | Martha J. | Jones | Mother's Maiden Name |
Mother's Surname | Collins Twp Story Co IA | Mother's Residence | |
Mother's Age | 25 | 4 | Number of Child This Mother |
Medical Attendant's Name | L.W. Thomas | Ellwell IA | Medical Attendant's Address |
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