| Certificate Number | 90 | | Date Issued |
| Child Given Name | |
Shuler | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 24 Nov 1888 |
Lincoln Twp Story Co IA | Place of Birth |
| Father's Given Name | Henry Wm. Chas. |
Shuler | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Germany | 32 | Father's Age |
| Mother's Given Name | | Young | Mother's Maiden Name |
| Mother's Surname | | Lincoln Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Germany | Mother's Birth Place |
| Mother's Age | 31 | 5 | Number of Child This Mother |
| Medical Attendant's Name | F.S. Newton | Zearing IA | Medical Attendant's Address |