| Certificate Number | 324 | | Date Issued |
| Child Given Name | |
Wier | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 25 May 1886 |
Sherman Twp Story Co IA | Place of Birth |
| Father's Given Name | Robert |
Weir | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Canada | 35 | Father's Age |
| Mother's Given Name | Emma J. | Bishop | Mother's Maiden Name |
| Mother's Surname | Wier | Sherman Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Canada | Mother's Birth Place |
| Mother's Age | 29 | 2 | Number of Child This Mother |
| Medical Attendant's Name | J.I. Hostetter | Colo IA | Medical Attendant's Address |
| Certificate Signer's Name | J.I. Hostetter | Colo IA | Certificate Signer's Address |
| Returned by Name | J.I. Hostetter | | |