| Child Given Name | Edward Napoleon |
Gilmore | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 09 Feb 1887 |
Zearing Story Co IA | Place of Birth |
| Father's Given Name | John |
Gilmore | Father's Surname |
| Father's Occupation | Farming | Irish | Father's Nationality |
| Father's Birth Place | Tarlen Co Ireland | 39 | Father's Age |
| Mother's Given Name | Eliza | Barton | Mother's Maiden Name |
| Mother's Surname | Gilmore | Zearing Story Co IA | Mother's Residence |
| Mother's Nationality | Irish | Tarlen Co Ireland | Mother's Birth Place |
| Mother's Age | 33 | 3 | Number of Child This Mother |
| Certificate Signer's Name | R.M. Bunter | | Certificate Signer's Address |