| Certificate Number | 97 | | Date Issued |
| Child Given Name | Gail |
Hamilton | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 03 Feb 1888 |
Lincoln Twp Story Co IA | Place of Birth |
| Father's Given Name | D.D. |
Hamilton | Father's Surname |
| Father's Occupation | Mason | | Father's Nationality |
| Father's Birth Place | Pennsylvania | 40 | Father's Age |
| Mother's Given Name | Ella | Purviance | Mother's Maiden Name |
| Mother's Surname | | Lincoln Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Illinois | Mother's Birth Place |
| Mother's Age | 30 | 1 | Number of Child This Mother |
| Medical Attendant's Name | A.W. Brooks | Zearing IA | Medical Attendant's Address |