| Child Given Name | Carrie Christina |
Rasmusson | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 06 Feb 1886 |
Richland Twp Story Co IA | Place of Birth |
| Father's Given Name | Christ F. |
Rasmusson | Father's Surname |
| Father's Occupation | Farming | Dane | Father's Nationality |
| Father's Birth Place | Denmark | 35 | Father's Age |
| Mother's Given Name | Mary | Olson | Mother's Maiden Name |
| Mother's Nationality | Dane | Denmark | Mother's Birth Place |
| Mother's Age | 26 | | Number of Child This Mother |
| Medical Attendant's Name | Anna Rasmusson | | Medical Attendant's Address |
| Certificate Signer's Name | Anna Rasmusson | | Certificate Signer's Address |
| Returned by Name | Anna Rasmusson | | |