| Certificate Number | 361 | | Date Issued |
| Child Given Name | Frank M. |
Moran | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 16 May 1889 |
Nevada Story Co IA | Place of Birth |
| Father's Given Name | Wm |
Moran | Father's Surname |
| Father's Occupation | Horse dealer | | Father's Nationality |
| Father's Birth Place | Iowa | 31 | Father's Age |
| Mother's Given Name | Maggie | Murphy | Mother's Maiden Name |
| Mother's Surname | | Nevada Story Co IA | Mother's Residence |
| Mother's Nationality | | Iowa | Mother's Birth Place |
| Mother's Age | 26 | 1 | Number of Child This Mother |
| Medical Attendant's Name | Geo. Stitzell | Nevada IA | Medical Attendant's Address |