| Child Given Name | Orville Eugene |
Schlanbusch | Child Surname |
| Child Sex | |
W | Child Race |
| Date of Birth | 12 Apr 1887 |
Howard Twp Story Co IA | Place of Birth |
| Father's Given Name | Ludvig Carl |
Schlanbusch | Father's Surname |
| Father's Occupation | Farming | American | Father's Nationality |
| Father's Birth Place | Illinois | 37 | Father's Age |
| Mother's Given Name | Rachel | Quam | Mother's Maiden Name |
| Mother's Surname | | Howard Twp Story Co IA | Mother's Residence |
| Mother's Nationality | Norwegian | Norway | Mother's Birth Place |
| Mother's Age | 31 | | Number of Child This Mother |
| Certificate Signer's Name | Gertrude, Mrs. Fenton | | Certificate Signer's Address |