| Certificate Number | 230 | | Date Issued |
| Child Given Name | Benjamin Franklin |
Oleson | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 11 Dec 1889 |
Nevada Story Co IA | Place of Birth |
| Father's Given Name | Martin G. |
Oleson | Father's Surname |
| Father's Occupation | Laborer | | Father's Nationality |
| Father's Birth Place | Norway | 23 | Father's Age |
| Mother's Given Name | Nellie | Maltby | Mother's Maiden Name |
| Mother's Surname | | Nevada Story Co IA | Mother's Residence |
| Mother's Nationality | | Missouri | Mother's Birth Place |
| Mother's Age | 19 | 1 | Number of Child This Mother |
| Medical Attendant's Name | Geo Stitzell | Nevada IA | Medical Attendant's Address |