Certificate Number | 328 | | Date Issued |
Child Given Name | |
Hannegan | Child Surname |
Child Sex | Male |
| Child Race |
Date of Birth | 05 Dec 1881 |
Washington Twp Story Co IA | Place of Birth |
Father's Given Name | Joseph |
Hannegan | Father's Surname |
Father's Occupation | Farmer | American | Father's Nationality |
Father's Birth Place | Ohio | 21 | Father's Age |
Mother's Given Name | Alice | Tunier | Mother's Maiden Name |
Mother's Surname | Hannegan | | Mother's Residence |
Mother's Nationality | American | Missouri | Mother's Birth Place |
Mother's Age | 22 | 2 | Number of Child This Mother |
Medical Attendant's Name | R.H. Sharp M.D. | Kelley IA | Medical Attendant's Address |
Certificate Signer's Name | R.H. Sharp M.D. | Kelley IA | Certificate Signer's Address |
Returned by Name | R.H. Sharp M.D. | | |