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Helen Grundman 4-H scrapbook, 1928-1932
Page 394
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HEALTH SCORE Prepared by ELIZABETH McCORMICK MEMORIAL FUND 848 N. Dearborn St. Chicago (to be used by the Physicians in scoring 4_H Club Members) IOWA STATE COLLEGE OF AGRICULTURE and U. S. Department of Agriculture, Cooperating. Entry No. Total Score 96 Name Helen M Grundman Residence (Rural Address Prescott Iowa Adams Co. Date of birth Dec. 29- 1913 Age 17 years 7 months. Birthplace Prescott Has birth been registered? Yes Where? Corning Underline numeral which shows number of children in the family: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, Encircle numeral which shows your place in the family. Father's name Albert J. F Grundman Address Prescott, Iowa Age 51 Birthplace Guston Racial stock German Occupation Farming Health: Good X Fair Poor Mother's maiden name Margaret M Lahr Age 46 Birthplace Bettendorf, Scott Co. Racial stock German Health: Good X Fair Poor
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HEALTH SCORE Prepared by ELIZABETH McCORMICK MEMORIAL FUND 848 N. Dearborn St. Chicago (to be used by the Physicians in scoring 4_H Club Members) IOWA STATE COLLEGE OF AGRICULTURE and U. S. Department of Agriculture, Cooperating. Entry No. Total Score 96 Name Helen M Grundman Residence (Rural Address Prescott Iowa Adams Co. Date of birth Dec. 29- 1913 Age 17 years 7 months. Birthplace Prescott Has birth been registered? Yes Where? Corning Underline numeral which shows number of children in the family: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, Encircle numeral which shows your place in the family. Father's name Albert J. F Grundman Address Prescott, Iowa Age 51 Birthplace Guston Racial stock German Occupation Farming Health: Good X Fair Poor Mother's maiden name Margaret M Lahr Age 46 Birthplace Bettendorf, Scott Co. Racial stock German Health: Good X Fair Poor
Iowa Women’s Lives: Letters and Diaries
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