| Certificate Number | 52 | | Date Issued |
| Child Given Name | William Edward |
Morris | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 22 Dec 1887 |
Lincoln Twp Story Co IA | Place of Birth |
| Father's Given Name | John |
Morris | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Canada | 25 | Father's Age |
| Mother's Given Name | Alice D. | See | Mother's Maiden Name |
| Mother's Surname | Morris | Lincoln Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Iowa | Mother's Birth Place |
| Mother's Age | 25 | 1 | Number of Child This Mother |
| Medical Attendant's Name | F.S. Newton | Zearing IA | Medical Attendant's Address |