| Certificate Number | 13 | | Date Issued |
| Child Given Name | |
Hughs | Child Surname |
| Child Sex | Male |
| Child Race |
| Date of Birth | 14 Jul 1880 |
Union Twp Story Co IA | Place of Birth |
| Father's Given Name | Aaron |
Hughs | Father's Surname |
| Father's Occupation | Farmer | American | Father's Nationality |
| Father's Birth Place | New York | 45 | Father's Age |
| Mother's Given Name | Mary R. | Lacore | Mother's Maiden Name |
| Mother's Surname | Hughs | Warren Twp Story Co IA | Mother's Residence |
| Mother's Nationality | American | McKean Co PA | Mother's Birth Place |
| Mother's Age | 37 | 4 | Number of Child This Mother |