| Child Given Name | Olena |
Thompson | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 25 Dec 1875 |
Roland Story Co IA | Place of Birth |
| Father's Given Name | Albert |
Thompson | Father's Surname |
| Father's Occupation | Blacksmith | Norwegian | Father's Nationality |
| Father's Birth Place | Stavanger Norway | 37 | Father's Age |
| Mother's Given Name | Johanna | Hoiland | Mother's Maiden Name |
| Mother's Surname | Thompson | Roland Story Co IA | Mother's Residence |
| Mother's Nationality | Norwegian | Stavanger Norway | Mother's Birth Place |
| Mother's Age | 35 | 5 | Number of Child This Mother |
| Certificate Signer's Name | Betsey Wells | Pearley MN | Certificate Signer's Address |