| Certificate Number | 32 | | Date Issued |
| Child Given Name | |
Barker | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 29 Oct 1889 |
Union Twp Story Co IA | Place of Birth |
| Father's Given Name | Chas |
Barker | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | New York | 36 | Father's Age |
| Mother's Given Name | Emma | Eastman | Mother's Maiden Name |
| Mother's Surname | | Union Twp Story Co IA | Mother's Residence |
| Mother's Nationality | | Ohio | Mother's Birth Place |
| Mother's Age | 31 | 4 | Number of Child This Mother |
| Medical Attendant's Name | A.S. Aplin | Cambridge IA | Medical Attendant's Address |