| Certificate Number | 2 | | Date Issued |
| Child Given Name | Alice |
Sapp | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 05 Sep 1888 |
Sherman Twp Story Co IA | Place of Birth |
| Father's Given Name | Lewis |
Sapp | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Indiana | 26 | Father's Age |
| Mother's Given Name | Lottie | Guthrie | Mother's Maiden Name |
| Mother's Surname | | Sherman Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Ohio | Mother's Birth Place |
| Mother's Age | 25 | 1 | Number of Child This Mother |
| Medical Attendant's Name | A.W. Brooks | Zearing IA | Medical Attendant's Address |