| Certificate Number | 177 | | Date Issued |
| Child Given Name | |
Hunter | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 26 Apr 1889 |
Ames Story Co IA | Place of Birth |
| Father's Given Name | F.C. |
Hunter | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Iowa | 29 | Father's Age |
| Mother's Given Name | Della | Kent | Mother's Maiden Name |
| Mother's Surname | | Ames Story Co IA | Mother's Residence |
| Mother's Nationality | | Pennsylvania | Mother's Birth Place |
| Mother's Age | 28 | 3 | Number of Child This Mother |
| Medical Attendant's Name | E.B. Plumb | Ames IA | Medical Attendant's Address |