Certificate Number | 145 | | Date Issued |
Child Given Name | |
Crowder | Child Surname |
Child Sex | Male |
W | Child Race |
Date of Birth | 15 Jun 1885 |
Hamilton Co IA | Place of Birth |
Father's Given Name | Isaac |
Crowder | Father's Surname |
Father's Occupation | Farmer | | Father's Nationality |
Father's Birth Place | Indiana | 30 | Father's Age |
Mother's Given Name | Linda | Sowers | Mother's Maiden Name |
Mother's Surname | Crowder | Hamilton Co IA | Mother's Residence |
Mother's Nationality | | Indiana | Mother's Birth Place |
Mother's Age | 28 | 6 | Number of Child This Mother |
Medical Attendant's Name | B.f Allen | Story City IA | Medical Attendant's Address |
Certificate Signer's Name | B.F. Allen | Story City IA | Certificate Signer's Address |
Returned by Name | B.F. Allen | | |