| Certificate Number | 207 | | Date Issued |
| Child Given Name | |
Mulcahy | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 13 Sep 1890 |
New Albany Twp Story Co IA | Place of Birth |
| Father's Given Name | John |
Mulcahy | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Ireland | 38 | Father's Age |
| Mother's Given Name | Rose | Smith | 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 | 35 | 2 | Number of Child This Mother |
| Returned by Name | father | | |