| Certificate Number | 8 | | Date Issued |
| Child Given Name | |
McGinnes | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 01 Sep 1887 |
Ames Story Co IA | Place of Birth |
| Father's Given Name | Geo |
McGinnis | Father's Surname |
| Father's Occupation | Harness Maker | | Father's Nationality |
| Father's Birth Place | Canada | 30 | Father's Age |
| Mother's Given Name | Eliza | Graham | Mother's Maiden Name |
| Mother's Surname | McGinnes | Ames Story Co IA | Mother's Residence |
| Mother's Nationality | | Ireland | Mother's Birth Place |
| Mother's Age | 28 | 1 | Number of Child This Mother |
| Medical Attendant's Name | E.B. Plumb | Ames IA | Medical Attendant's Address |