| Certificate Number | 117 | | Date Issued |
| Child Given Name | Arthur C. |
Reasoner | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 06 Mar 1889 |
Grant Twp Story Co IA | Place of Birth |
| Father's Given Name | Wm. G. |
Reasoner | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Iowa | 30 | Father's Age |
| Mother's Given Name | Carrie | Hunicker | Mother's Maiden Name |
| Mother's Surname | | Grant Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | New Jersey | Mother's Birth Place |
| Mother's Age | 22 | 3 | Number of Child This Mother |
| Medical Attendant's Name | J.M. Brown | Cambridge IA | Medical Attendant's Address |