| Certificate Number | 132 | | Date Issued |
| Child Given Name | |
Tilden | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 25 Apr 1888 |
Franklin Twp Story Co IA | Place of Birth |
| Father's Given Name | Fred C. |
Tilden | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Vermont | 42 | Father's Age |
| Mother's Given Name | Emma J. | Albrook | Mother's Maiden Name |
| Mother's Nationality | | Pennsylvania | Mother's Birth Place |
| Mother's Age | 42 | 6 | Number of Child This Mother |
| Medical Attendant's Name | A. Richmond | Ames IA | Medical Attendant's Address |