| Certificate Number | 479 | | Date Issued |
| Child Given Name | Cora |
Wilkinson | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 02 Feb 1887 |
| Place of Birth |
| Father's Given Name | Albert D. |
Wilkinson | Father's Surname |
| Father's Occupation | Commercial Traveler | | Father's Nationality |
| Father's Birth Place | Missouri | 28 | Father's Age |
| Mother's Given Name | Laura | Robinson | Mother's Maiden Name |
| Mother's Surname | Wilkinson | Nevada Story Co IA | Mother's Residence |
| Mother's Nationality | | Story Co IA | Mother's Birth Place |
| Mother's Age | 21 | 1 | Number of Child This Mother |
| Medical Attendant's Name | E.H. Monk | Nevada IA | Medical Attendant's Address |