| Certificate Number | 26 | | Date Issued |
| Child Given Name | E.J.M. |
Zenor | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 07 Oct 1887 |
Washington Twp Story Co IA | Place of Birth |
| Father's Given Name | Sylvester T. |
Zenor | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Indiana | 48 | Father's Age |
| Mother's Given Name | Sarah E. | Lucas | Mother's Maiden Name |
| Mother's Surname | | Washington Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Indiana | Mother's Birth Place |
| Mother's Age | 36 | 1 | Number of Child This Mother |
| Medical Attendant's Name | H.M. Templeton | Ames IA | Medical Attendant's Address |