| Certificate Number | 184 | | Date Issued |
| Child Given Name | Edw'd F. |
Harrington | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 03 Jul 1890 |
Story City Story Co IA | Place of Birth |
| Father's Given Name | E.M. |
Harrington | Father's Surname |
| Father's Occupation | Telegraph operator | | Father's Nationality |
| Father's Birth Place | Missouri | 29 | Father's Age |
| Mother's Given Name | Princess M. | Fegtley | Mother's Maiden Name |
| Mother's Nationality | | Ohio | Mother's Birth Place |
| Mother's Age | 24 | 1 | Number of Child This Mother |
| Medical Attendant's Name | C.W. Allen | Story City IA | Medical Attendant's Address |