| Certificate Number | 242 | | Date Issued |
| Child Given Name | Louise |
Finch | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 08 Jun 1889 |
Nevada Story Co IA | Place of Birth |
| Father's Given Name | Daniel E. |
French | Father's Surname |
| Father's Occupation | Carpenter | | Father's Nationality |
| Father's Birth Place | Ohio | 70 | Father's Age |
| Mother's Given Name | Casandria | Heizer | Mother's Maiden Name |
| Mother's Surname | | Nevada Story Co IA | Mother's Residence |
| Mother's Nationality | | Indiana | Mother's Birth Place |
| Mother's Age | 46 | 6 | Number of Child This Mother |
| Medical Attendant's Name | Pernelia Airhart | Nevada IA | Medical Attendant's Address |
| Returned by Name | E.H. Munk | | |