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From Birth Register Volume 1 1880-1890 Page 79 |
Certificate Number | 1039 | Date Issued | |
Child Given Name | Grover | Child Surname | |
Child Sex | Female | W | Child Race |
Date of Birth | 25 Apr 1884 | Ames Story Co IA | Place of Birth |
Father's Given Name | Albert | Grover | Father's Surname |
Father's Occupation | Farmer | Father's Nationality | |
Mother's Age | 2 | Number of Child This Mother | |
Medical Attendant's Name | C.A., Dr. Beverly | Ames IA | Medical Attendant's Address |
Certificate Signer's Name | C.A., Dr. Beverly | Ames IA | Certificate Signer's Address |
Returned by Name | C.A., Dr. Beverly |
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