| Child Given Name | Jessie Pearle |
Barker | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 06 Mar 1890 |
Cambridge Story Co IA | Place of Birth |
| Father's Given Name | Eugene |
Barker | Father's Surname |
| Father's Occupation | Farming | American | Father's Nationality |
| Father's Birth Place | Wisconson | 31 | Father's Age |
| Mother's Given Name | Jennie | Chase | Mother's Maiden Name |
| Mother's Surname | Barker | | Mother's Residence |
| Mother's Nationality | American | New York | Mother's Birth Place |
| Mother's Age | 26 | | Number of Child This Mother |
| Medical Attendant's Name | Dr. Aplin | | Medical Attendant's Address |
| Certificate Signer's Name | Jennie, Mrs. Barker | | Certificate Signer's Address |