| Child Given Name | Charles Clifford |
Baldus | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 05 Apr 1885 |
Story City Story Co IA | Place of Birth |
| Father's Given Name | William |
Baldus | Father's Surname |
| Father's Occupation | Farming | American | Father's Nationality |
| Father's Birth Place | Chicago IL | 31 | Father's Age |
| Mother's Given Name | Bertha | Gross | Mother's Maiden Name |
| Mother's Surname | Baldus | Story City Story Co IA | Mother's Residence |
| Mother's Nationality | American | Iowa | Mother's Birth Place |
| Mother's Age | | 1 | Number of Child This Mother |
| Medical Attendant's Name | Dr. Allen | | Medical Attendant's Address |
| Returned by Name | William Baldus | | |