| Certificate Number | 225 | | Date Issued |
| Child Given Name | |
Wright | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 24 Aug 1888 |
Lincoln Twp Story Co IA | Place of Birth |
| Father's Given Name | Chas. H. |
Wright | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Ohio | 28 | Father's Age |
| Mother's Given Name | | Guthrie | Mother's Maiden Name |
| Mother's Nationality | | Ohio | Mother's Birth Place |
| Mother's Age | 28 | 5 | Number of Child This Mother |
| Medical Attendant's Name | F.S. Newton | Zearing IA | Medical Attendant's Address |