| Certificate Number | 136 | | Date Issued |
| Child Given Name | |
Hanagan | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 12 Apr 1888 |
Washington Twp Story Co IA | Place of Birth |
| Father's Given Name | Joseph |
Hanagan | Father's Surname |
| Father's Occupation | Laborer | | Father's Nationality |
| Father's Birth Place | Iowa | 32 | Father's Age |
| Mother's Given Name | Alice | Turner | Mother's Maiden Name |
| Mother's Surname | | Washington Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Arkansaw | Mother's Birth Place |
| Mother's Age | 24 | 4 | Number of Child This Mother |
| Medical Attendant's Name | A. Richmond | Ames IA | Medical Attendant's Address |