| Certificate Number | 82 | | Date Issued |
| Child Given Name | Robert |
Billington | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 16 Jan 1888 |
Lincoln Twp Story Co IA | Place of Birth |
| Father's Given Name | A.W. |
Billington | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Missouri | 32 | Father's Age |
| Mother's Given Name | Mary | Roberts | Mother's Maiden Name |
| Mother's Surname | Billington | Lincoln Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Iowa | Mother's Birth Place |
| Mother's Age | 23 | 3 | Number of Child This Mother |
| Medical Attendant's Name | A.W. Brooks | Zearing IA | Medical Attendant's Address |