| Certificate Number | 494 | | Date Issued |
| Child Given Name | Earl Leo |
Minear | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 31 Jan 1887 |
Collins Twp Story Co IA | Place of Birth |
| Father's Given Name | L.D. |
Minear | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Indiana | 37 | Father's Age |
| Mother's Given Name | Lulu | Pike | Mother's Maiden Name |
| Mother's Surname | | Collins Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Illinois | Mother's Birth Place |
| Mother's Age | 24 | 1 | Number of Child This Mother |
| Returned by Name | L.D. Minear | | |