| Certificate Number | 83 | | Date Issued |
| Child Given Name | |
Hann | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 07 Jan 1889 |
Lincoln Twp Story Co IA | Place of Birth |
| Father's Given Name | G.M. |
Hann | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | New Jersey | 29 | Father's Age |
| Mother's Given Name | | Rahfeldt | Mother's Maiden Name |
| Mother's Nationality | | Canada | Mother's Birth Place |
| Mother's Age | 22 | 1 | Number of Child This Mother |
| Medical Attendant's Name | F.S. Newton | Zearing IA | Medical Attendant's Address |