| Child Given Name | Albert |
Twedt | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 16 Jul 1883 |
Howard Twp Story Co IA | Place of Birth |
| Father's Given Name | John |
Twedt | Father's Surname |
| Father's Occupation | Farmer | Norwegian | Father's Nationality |
| Father's Birth Place | Norway | 38 | Father's Age |
| Mother's Given Name | Anna | Erickson | Mother's Maiden Name |
| Mother's Nationality | Norwegian | Norway | Mother's Birth Place |
| Mother's Age | 36 | 6 | Number of Child This Mother |
| Medical Attendant's Name | Paul, Mrs. Thompson | | Medical Attendant's Address |
| Certificate Signer's Name | Jacob Twedt | | Certificate Signer's Address |