| Certificate Number | 63 | | Date Issued |
| Child Given Name | Linus Calvin |
Gretten | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 07 Jan 1888 |
Franklin Twp Story Co IA | Place of Birth |
| Father's Given Name | Michael |
Gretten | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Germany | 46 | Father's Age |
| Mother's Given Name | Hannah | Ruth | Mother's Maiden Name |
| Mother's Surname | Gretten | Franklin Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Lake Co IL | Mother's Birth Place |
| Mother's Age | 43 | 10 | Number of Child This Mother |
| Medical Attendant's Name | Rachel Marshall | Gilbert IA | Medical Attendant's Address |