| Certificate Number | 581 | | Date Issued |
| Child Given Name | Norman G. |
Conley | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 24 Jan 1887 |
Iowa Center Story Co IA | Place of Birth |
| Father's Given Name | Thos. G. |
Conley | Father's Surname |
| Father's Occupation | Laborer | | Father's Nationality |
| Father's Birth Place | Illinois | 29 | Father's Age |
| Mother's Given Name | Ida | Shoop | Mother's Maiden Name |
| Mother's Surname | Conley | Iowa Center Story Co IA | Mother's Residence |
| Mother's Nationality | | Illinois | Mother's Birth Place |
| Mother's Age | 28 | 1 | Number of Child This Mother |
| Medical Attendant's Name | A.S. Aplin | Cambridge IA | Medical Attendant's Address |