| Certificate Number | 57 | | Date Issued |
| Child Given Name | Irma M. |
Horton | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 25 Oct 1880 |
Nevada Story Co IA | Place of Birth |
| Father's Given Name | George D. |
Horton | Father's Surname |
| Father's Occupation | Editor | American | Father's Nationality |
| Father's Birth Place | Bradford Co PA | 23 | Father's Age |
| Mother's Given Name | Anna May | Judsen | Mother's Maiden Name |
| Mother's Surname | Horton | Nevada Story Co IA | Mother's Residence |
| Mother's Nationality | American | Wisconson | Mother's Birth Place |
| Mother's Age | 22 | 1 | Number of Child This Mother |