| Certificate Number | 185 | | Date Issued |
| Child Given Name | Walter |
Lyman | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 10 Apr 1888 |
Nevada Story Co IA | Place of Birth |
| Father's Given Name | W.F. |
Lyman | Father's Surname |
| Father's Occupation | Brick Mason | | Father's Nationality |
| Father's Birth Place | Alabama | 29 | Father's Age |
| Mother's Given Name | Mary | Rice | Mother's Maiden Name |
| Mother's Nationality | | New York | Mother's Birth Place |
| Mother's Age | 32 | 2 | Number of Child This Mother |
| Medical Attendant's Name | E.H. Munk | Nevada IA | Medical Attendant's Address |