| Certificate Number | 62 | | Date Issued |
| Child Given Name | Edith Elizabeth |
Glidden | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 07 Oct 1887 |
Ames Story Co IA | Place of Birth |
| Father's Given Name | John R.D. |
Glydden | Father's Surname |
| Father's Occupation | Drayman | | Father's Nationality |
| Father's Birth Place | Brown Co NY | 26 | Father's Age |
| Mother's Given Name | Almeda | Day | Mother's Maiden Name |
| Mother's Surname | | Ames Story Co IA | Mother's Residence |
| Mother's Nationality | | Olney IL | Mother's Birth Place |
| Mother's Age | 22 | 2 | Number of Child This Mother |
| Medical Attendant's Name | J.L., Mrs. Bartlett | Ames IA | Medical Attendant's Address |