| Certificate Number | 131 | | Date Issued |
| Child Given Name | Edward L. |
Rapp | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 07 Apr 1885 |
Nevada Story Co IA | Place of Birth |
| Father's Given Name | Jacob C. |
Rapp | Father's Surname |
| Father's Occupation | Miller | German | Father's Nationality |
| Father's Birth Place | Germany | | Father's Age |
| Mother's Given Name | Ellanora | Longshore | Mother's Maiden Name |
| Mother's Surname | Rapp | Nevada Story Co IA | Mother's Residence |
| Mother's Nationality | American | Iowa | Mother's Birth Place |
| Mother's Age | | 5 | Number of Child This Mother |
| Medical Attendant's Name | E.H. Munk | Nevada IA | Medical Attendant's Address |
| Certificate Signer's Name | E.H. Munk | Nevada IA | Certificate Signer's Address |
| Returned by Name | E.H. Munk | | |