| Certificate Number | 136 | | Date Issued |
| Child Given Name | |
Hutts | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 18 Jan 1886 |
Grant Twp Story Co IA | Place of Birth |
| Father's Given Name | D.J. |
Hutts | Father's Surname |
| Father's Occupation | Farmer | American | Father's Nationality |
| Father's Birth Place | Indiana | 31 | Father's Age |
| Mother's Given Name | Maggie M. | Bouse | Mother's Maiden Name |
| Mother's Surname | Hutts | Nevada Story Co IA | Mother's Residence |
| Mother's Nationality | | Indiana | Mother's Birth Place |
| Mother's Age | 30 | 2 | Number of Child This Mother |
| Medical Attendant's Name | Mrs. Butt | Nevada IA | Medical Attendant's Address |