| Child Given Name | Ethel Fae |
Campbell | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 23 Sep 1881 |
Milford Twp Story Co IA | Place of Birth |
| Father's Given Name | Justus A. |
Campbell | Father's Surname |
| Father's Occupation | Farmer | American | Father's Nationality |
| Father's Birth Place | Iowa | 22 | Father's Age |
| Mother's Given Name | Ada | Hall | Mother's Maiden Name |
| Mother's Surname | Campbell | | Mother's Residence |
| Mother's Nationality | American | Iowa | Mother's Birth Place |
| Mother's Age | 23 | 1 | Number of Child This Mother |
| Medical Attendant's Name | Geo. Stitzell M.D. | Nevada IA | Medical Attendant's Address |