| Child Given Name | Dora Ellen |
Worrall | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 20 Nov 1890 |
Colo Story Co IA | Place of Birth |
| Father's Given Name | Geo. W. |
Worrall | Father's Surname |
| Father's Occupation | Farmer | American | Father's Nationality |
| Father's Birth Place | Ohio | 52 | Father's Age |
| Mother's Given Name | Melissa | Bagley | Mother's Maiden Name |
| Mother's Surname | Worrall | Colo Story Co IA | Mother's Residence |
| Mother's Nationality | American | Illinois | Mother's Birth Place |
| Mother's Age | 42 | 12 | Number of Child This Mother |
| Medical Attendant's Name | Geo. W. Worrall | Colo IA | Medical Attendant's Address |