| Certificate Number | 620 | | Date Issued |
| Child Given Name | Eda Linnona |
Johnson | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 05 Aug 1887 |
Cambridge Story Co IA | Place of Birth |
| Father's Given Name | Edwin |
Johnson | Father's Surname |
| Father's Occupation | Grain Dealer | | Father's Nationality |
| Father's Birth Place | Illinois | 32 | Father's Age |
| Mother's Given Name | Linnie | Anderson | Mother's Maiden Name |
| Mother's Surname | Johnson | Cambridge Story Co IA | Mother's Residence |
| Mother's Nationality | | Illinois | Mother's Birth Place |
| Mother's Age | 33 | 1 | Number of Child This Mother |
| Medical Attendant's Name | J.M. Brown | Cambridge IA | Medical Attendant's Address |