Certificate Number | 989 | | Date Issued |
Child Given Name | Sibyl Jean |
Danskin | Child Surname |
Child Sex | Female |
W | Child Race |
Date of Birth | 25 Jul 1884 |
Sherman Twp Story Co IA | Place of Birth |
Father's Given Name | James |
Danskin | Father's Surname |
Father's Occupation | Farmer | American | Father's Nationality |
Father's Birth Place | New York | 36 | Father's Age |
Mother's Given Name | Harriet W. | Douglas | Mother's Maiden Name |
Mother's Surname | Danskin | Sherman Twp Story Co IA | Mother's Residence |
Mother's Nationality | American | New York | Mother's Birth Place |
Mother's Age | 37 | 4 | Number of Child This Mother |
Medical Attendant's Name | J. Doughtery | Colo IA | Medical Attendant's Address |
Certificate Signer's Name | J. Doughtery | Colo IA | Certificate Signer's Address |
Returned by Name | J. Doughtery | | |