| Certificate Number | 229 | | Date Issued |
| Child Given Name | Wm |
Hanson | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 09 Aug 1887 |
Milford Twp Story Co IA | Place of Birth |
| Father's Given Name | Christian |
Hanson | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Denmark | 32 | Father's Age |
| Mother's Given Name | Mary | Oleson | Mother's Maiden Name |
| Mother's Surname | | Milford Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Denmark | Mother's Birth Place |
| Mother's Age | 21 | 1 | Number of Child This Mother |
| Medical Attendant's Name | Geo Stitzell | Nevada IA | Medical Attendant's Address |