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Story County Iowa Birth Records

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From Birth Register Volume 1 1880-1890 Page 17
Certificate Number 78Date Issued
Child Given Name Clarence Jerome BurdickChild Surname
Child Sex Male WChild Race
Date of Birth 03 Nov 1884 Zearing Story Co IAPlace of Birth
Father's Given Name F.D. BurdickFather's Surname
Father's Occupation Music DealerFather's Nationality
Father's Birth Place Illinois45Father's Age
Mother's Given Name S.E.BalliettMother's Maiden Name
Mother's Surname BurdickZearing Story Co IAMother's Residence
Mother's Nationality IllinoisMother's Birth Place
Mother's Age 323Number of Child This Mother
Medical Attendant's Name Fanny McLainWarren Twp Medical Attendant's Address
Certificate Signer's Name Fanny McLainWarren TwpCertificate Signer's Address
Returned by Name Fanny McLain

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