| Certificate Number | 175 | | Date Issued |
| Child Given Name | Anna A. |
Murphy | Child Surname |
| Child Sex | |
W | Child Race |
| Date of Birth | 16 Apr 1890 |
New Albany Twp Story Co IA | Place of Birth |
| Father's Given Name | Robert |
Murphy | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Canada | 35 | Father's Age |
| Mother's Given Name | | Sinnot | Mother's Maiden Name |
| Mother's Surname | | New Albany Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Ireland | Mother's Birth Place |
| Mother's Age | 27 | | Number of Child This Mother |
| Medical Attendant's Name | J.I. Hostetter | Colo IA | Medical Attendant's Address |