| Child Given Name | Lewis |
Cole | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 01 Nov 1881 |
Howard Twp Story Co IA | Place of Birth |
| Father's Given Name | Andrew |
Cole | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Norway | 47 | Father's Age |
| Mother's Given Name | Ales | Naase | Mother's Maiden Name |
| Mother's Surname | Cole | | Mother's Residence |
| Mother's Nationality | | Norway | Mother's Birth Place |
| Mother's Age | 36 | 11 | Number of Child This Mother |
| Certificate Signer's Name | Henry Cole | Radcliffe Hardin Co IA | Certificate Signer's Address |