| No. | Date of Return | 1 Name of Child 2 Sex 3 No. of child of this Mother |
Race or Color |
1 Date of Birth 2 Place of Birth |
1 Nationality of Father 2 Place of Birth |
Age | 1 Nationality of Mother 2 Place of Birth |
Age | 1 Full Name of Mother 2 Maiden Name of Mother 3 Residence of Mother |
1 Full Name of Father 2 Occupation |
1 Name and Address of Medical Attendant 2 Name and Address of Person Making Certificate 3 Returned by |
| 67 | Jany 8 1884 |
1 Minnie McBride 2 Female 3 - 1 |
white | 1 Dec 28, 1883 2 Montour |
1 Irish 2 Mich |
27 | 1 American 2 Iowa |
24 | 1 Emeretta McBride 2 Lamm 3 Montour |
1 Wm McBride 2 Painter |
1 Mrs. Adam Lamm 2 J.H. Sterns Montour 3 same |
| Certificate Of Live Birth Certificate No. Book 2 pg 149 NAME Julia Lamm DATE OF BIRTH Dec. 17, 1908 SEX Female CITY OF BIRTH Glidden COUNTY OF BIRTH Carroll STATE OF BIRTH Iowa MOTHER'S FULL MAIDEN NAME Ida Clifford FATHER'S FULL NAME Jake E. Lamm |
| Certificate Of Live Birth Certificate No. 69-15127 NAME Walter Lincoln Miles DATE OF BIRTH July 19, 1910 SEX Male CITY OF BIRTH Cherokee COUNTY OF BIRTH Cherokee STATE OF BIRTH Iowa MOTHER'S FULL MAIDEN NAME Josie Geasland FATHER'S FULL NAME Zora Miles |
