| Certificate Number | 345 | | Date Issued |
| Child Given Name | Steve Josephene |
Olsen | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 27 Feb 1882 |
Union Twp Story Co IA | Place of Birth |
| Father's Given Name | Samuel |
Olsen | Father's Surname |
| Father's Occupation | Farmer | Norwegian | Father's Nationality |
| Father's Birth Place | Norway | 43 | Father's Age |
| Mother's Given Name | Barbro | Johnson | Mother's Maiden Name |
| Mother's Surname | Olson | Union Twp Story Co IA | Mother's Residence |
| Mother's Nationality | Norwegian | Norway | Mother's Birth Place |
| Mother's Age | 43 | 7 | Number of Child This Mother |
| Medical Attendant's Name | D.D. Hayes M.D. | Cambridge IA | Medical Attendant's Address |
| Certificate Signer's Name | D.D. Hayes M.D. | Cambridge IA | Certificate Signer's Address |
| Returned by Name | Anna Read | | |