| Certificate Number | 90 | | Date Issued |
| Child Given Name | Wirtal Dell |
Redding | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 09 Dec 1880 |
Collins Twp Story Co IA | Place of Birth |
| Father's Given Name | Robert |
Redding | Father's Surname |
| Father's Occupation | Farmer | American | Father's Nationality |
| Father's Birth Place | Indiana | 23 | Father's Age |
| Mother's Given Name | Clra Ellen | Fertig | Mother's Maiden Name |
| Mother's Surname | Redding | Collins Twp Story Co IA | Mother's Residence |
| Mother's Nationality | American | Iowa | Mother's Birth Place |
| Mother's Age | 20 | 2 | Number of Child This Mother |
| Medical Attendant's Name | A.P. Edgar | Clyde IA | Medical Attendant's Address |
| Certificate Signer's Name | A.P. Edgar | Clyde IA | Certificate Signer's Address |
| Returned by Name | 'mail' | | |