| Certificate Number | 13 | | Date Issued |
| Child Given Name | Truman N. |
Torp | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 12 Oct 1888 |
Story City Story Co IA | Place of Birth |
| Father's Given Name | A.N. |
Torp | Father's Surname |
| Father's Occupation | Photographer | | Father's Nationality |
| Father's Birth Place | Denmark | 36 | Father's Age |
| Mother's Given Name | Christine | Nelson | Mother's Maiden Name |
| Mother's Surname | | Story City Story Co IA | Mother's Residence |
| Mother's Nationality | | Denmark | Mother's Birth Place |
| Mother's Age | 26 | 5 | Number of Child This Mother |
| Medical Attendant's Name | Fred, Mrs. Peterson | Story City IA | Medical Attendant's Address |