| Certificate Number | 52 | | Date Issued |
| Child Given Name | Francis Eugene |
Stoops | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 05 Dec 1888 |
Franklin Twp Story Co IA | Place of Birth |
| Father's Given Name | David |
Stoops | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Iowa | 47 | Father's Age |
| Mother's Given Name | Effe | Davis | Mother's Maiden Name |
| Mother's Surname | | Franklin Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Wisconson | Mother's Birth Place |
| Mother's Age | 37 | 6 | Number of Child This Mother |
| Medical Attendant's Name | H.M. Templeton | Ames IA | Medical Attendant's Address |