| Certificate Number | 38 | | Date Issued |
| Child Given Name | Ralph |
Ginter | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 28 Aug 1880 |
New Albany Twp Story Co IA | Place of Birth |
| Father's Given Name | William |
Ginter | Father's Surname |
| Father's Occupation | Farmer | American | Father's Nationality |
| Father's Birth Place | Stephenson Co IL | 25 | Father's Age |
| Mother's Given Name | Laura Jane | Vail | Mother's Maiden Name |
| Mother's Surname | Ginter | New Albany Twp Story Co IA | Mother's Residence |
| Mother's Nationality | American | Poweshiek Co IA | Mother's Birth Place |
| Mother's Age | 23 | 3 | Number of Child This Mother |
| Medical Attendant's Name | Jno Daugherty | Colo IA | Medical Attendant's Address |
| Certificate Signer's Name | Jno Daugherty | Colo IA | Certificate Signer's Address |
| Returned by Name | 'By Mail' | | |