| Certificate Number | 832 | | Date Issued |
| Child Given Name | Mable |
Livingston | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 19 Oct 1883 |
Union Twp Story Co IA | Place of Birth |
| Father's Given Name | Eugene |
Livingston | Father's Surname |
| Father's Occupation | Farmer | American | Father's Nationality |
| Father's Birth Place | Union Twp Story Co IA | 22 | Father's Age |
| Mother's Given Name | Elizabeth | Green | Mother's Maiden Name |
| Mother's Surname | Livingston | Union Twp Story Co IA | Mother's Residence |
| Mother's Nationality | American | Union Twp Story Co IA | Mother's Birth Place |
| Mother's Age | 20 | 1 | Number of Child This Mother |
| Medical Attendant's Name | Arthur Aplin | Cambridge IA | Medical Attendant's Address |
| Certificate Signer's Name | Arthur Aplin | Cambridge IA | Certificate Signer's Address |
| Returned by Name | Arthur Aplin | | |