| Child Given Name | Orrin Denny |
Padellford | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 12 Jul 1882 |
Richland Twp Story Co IA | Place of Birth |
| Father's Given Name | Linn Hoar |
Padellford | Father's Surname |
| Father's Occupation | Farmer | American | Father's Nationality |
| Father's Birth Place | Saratoga Co NY | | Father's Age |
| Mother's Given Name | Addie D. | Denny | Mother's Maiden Name |
| Mother's Surname | Padellford | | Mother's Residence |
| Mother's Nationality | American | Keokuk Co IA | Mother's Birth Place |
| Mother's Age | 25 | 2 | Number of Child This Mother |
| Medical Attendant's Name | Dr. Stitzell | | Medical Attendant's Address |
| Certificate Signer's Name | Warren A. Smay | Nevada IA | Certificate Signer's Address |