| Certificate Number | 338 | | Date Issued |
| Child Given Name | Cora |
Christopher | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 26 Mar 1889 |
Franklin Twp Story Co IA | Place of Birth |
| Father's Given Name | Britt |
Christoper | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Iowa | 24 | Father's Age |
| Mother's Given Name | Isabelle M. | Houge | Mother's Maiden Name |
| Mother's Surname | | Franklin Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Iowa | Mother's Birth Place |
| Mother's Age | 29 | 1 | Number of Child This Mother |
| Medical Attendant's Name | C.A. Beverly | Ames IA | Medical Attendant's Address |