| Certificate Number | 510 | | Date Issued |
| Child Given Name | |
Rattray | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 24 Feb 1887 |
Garden Twp Boone Co IA | Place of Birth |
| Father's Given Name | Daniel |
Rattray | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Canada | 35 | Father's Age |
| Mother's Given Name | Fanny | Spratford | Mother's Maiden Name |
| Mother's Surname | Rattray | Gordon Twp Boone Co IA | Mother's Residence |
| Mother's Nationality | | Canada | Mother's Birth Place |
| Mother's Age | 29 | 5 | Number of Child This Mother |
| Medical Attendant's Name | H.M. Templeton | Ames IA | Medical Attendant's Address |