| Certificate Number | 70 | | Date Issued |
| Child Given Name | Anna S. |
Lehman | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 04 Feb 1888 |
Huxley Story Co IA | Place of Birth |
| Father's Given Name | Robert |
Lehman | Father's Surname |
| Father's Occupation | R.R. Hand | | Father's Nationality |
| Father's Birth Place | Germany | 31 | Father's Age |
| Mother's Given Name | Allie M. | Hughes | Mother's Maiden Name |
| Mother's Surname | | Huxley Story Co IA | Mother's Residence |
| Mother's Nationality | | Iowa | Mother's Birth Place |
| Mother's Age | 22 | 2 | Number of Child This Mother |
| Medical Attendant's Name | J.M. Brown | Cambridge IA | Medical Attendant's Address |