| Child Given Name | George |
Corvan | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 04 Jul 1886 |
Colo Story Co IA | Place of Birth |
| Father's Given Name | Robert |
Corvan | Father's Surname |
| Father's Occupation | Shoemaker | Irish | Father's Nationality |
| Father's Birth Place | Ireland | 42 | Father's Age |
| Mother's Given Name | Ruth | Wilson | Mother's Maiden Name |
| Mother's Surname | Corvan | Colo Story Co IA | Mother's Residence |
| Mother's Nationality | Irish | Ireland | Mother's Birth Place |
| Mother's Age | 39 | 9 | Number of Child This Mother |
| Medical Attendant's Name | J.I. Hostetter | | Medical Attendant's Address |
| Returned by Name | 'Mother' | | |