| Certificate Number | 225 | | Date Issued |
| Child Given Name | John Clinton |
Reasoner | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 11 Aug 1889 |
Grant Twp Story Co IA | Place of Birth |
| Father's Given Name | Elias A. |
Reasoner | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Indiana | 35 | Father's Age |
| Mother's Given Name | Mary E. | Yocum | Mother's Maiden Name |
| Mother's Surname | | Grant Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Illinois | Mother's Birth Place |
| Mother's Age | 37 | 6 | Number of Child This Mother |
| Medical Attendant's Name | J.M. Brown | Cambridge IA | Medical Attendant's Address |