| Certificate Number | 297 | | Date Issued |
| Child Given Name | Altha Viola May |
Hankins | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 04 Jul 1889 |
Collins Twp Story Co IA | Place of Birth |
| Father's Given Name | John |
Hankins | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Mother's Given Name | Sarah | Shaffer | Mother's Maiden Name |
| Mother's Surname | | Collins Twp Story Co IA | Mother's Residence |
| Mother's Age | | 6 | Number of Child This Mother |
| Medical Attendant's Name | N.W. Knepper | Collins IA | Medical Attendant's Address |