Certificate Number | 932 | | Date Issued |
Child Given Name | Berta M. |
Tayler | Child Surname |
Child Sex | Female |
W | Child Race |
Date of Birth | 16 Jan 1884 |
Nevada Twp Story Co IA | Place of Birth |
Father's Given Name | S.J. |
Taylor | Father's Surname |
Father's Occupation | Farmer | American | Father's Nationality |
Father's Birth Place | Indiana | 29 | Father's Age |
Mother's Given Name | Elizabeth | Mitchell | Mother's Maiden Name |
Mother's Surname | Taylor | Nevada Twp Story Co IA | Mother's Residence |
Mother's Nationality | American | Iowa | Mother's Birth Place |
Mother's Age | 17 | 1 | Number of Child This Mother |
Medical Attendant's Name | E.H. Monk | Nevada IA | Medical Attendant's Address |
Certificate Signer's Name | E.H. Monk | Nevada IA | Certificate Signer's Address |
Returned by Name | E.H. Monk | | |