Child Given Name | Rose |
Fosse | Child Surname |
Child Sex | |
W | Child Race |
Date of Birth | 22 Sep 1884 |
Roland Story Co IA | Place of Birth |
Father's Given Name | Ole O. |
Fosse | Father's Surname |
Father's Occupation | | Norwegian | Father's Nationality |
Father's Birth Place | Norway | 30 | Father's Age |
Mother's Given Name | Serelena | Helgen | Mother's Maiden Name |
Mother's Surname | | Norway | Mother's Residence |
Mother's Nationality | Norwegian | Norway | Mother's Birth Place |
Mother's Age | 23 | | Number of Child This Mother |
Medical Attendant's Name | Ole O., Dr. Fosse | | Medical Attendant's Address |