| Certificate Number | 2 | | Date Issued |
| Child Given Name | Olive Mary |
Stephenson | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 25 Jun 1887 |
Nevada Twp Story Co IA | Place of Birth |
| Father's Given Name | Louis E. |
Stephenson | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | | 30 | Father's Age |
| Mother's Given Name | Harriet Julia | | Mother's Maiden Name |
| Mother's Surname | Stephenson | Nevada Twp Story Co IA | Mother's Residence |
| Mother's Age | 27 | 2 | Number of Child This Mother |
| Returned by Name | E.H. Munk | | |