| Certificate Number | 48 | | Date Issued |
| Child Given Name | Mary |
Heaton | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 08 Sep 1880 |
Warren Twp Story Co IA | Place of Birth |
| Father's Given Name | Lucius Edward |
Heaton | Father's Surname |
| Father's Occupation | Farmer | American | Father's Nationality |
| Father's Birth Place | New York | 24 | Father's Age |
| Mother's Given Name | Maria Louisa | Spracklin | Mother's Maiden Name |
| Mother's Surname | Heston | Warren Twp Story Co IA | Mother's Residence |
| Mother's Nationality | American | Iowa | Mother's Birth Place |
| Mother's Age | 21 | 2 | Number of Child This Mother |