| Certificate Number | 344 | | Date Issued |
| Child Given Name | Jennie May |
Gunder | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 16 Aug 1881 |
Union Twp Story Co IA | Place of Birth |
| Father's Given Name | George W. |
Gunder | Father's Surname |
| Father's Occupation | Farmer | American | Father's Nationality |
| Father's Birth Place | Pennsylvania | 25 | Father's Age |
| Mother's Given Name | Sarah Elizabeth | Stafford | Mother's Maiden Name |
| Mother's Nationality | American | Iowa | Mother's Birth Place |
| Mother's Age | 22 | 2 | Number of Child This Mother |
| Medical Attendant's Name | Rebecca A. Atkinson | | Medical Attendant's Address |
| Certificate Signer's Name | Rebecca A. Atkinson | | Certificate Signer's Address |
| Returned by Name | Rebecca A. Atkinson | | |