| Certificate Number | 130 | | Date Issued |
| Child Given Name | Hurd F. |
Cairns | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 22 Mar 1887 |
Ames Story Co IA | Place of Birth |
| Father's Given Name | Robert |
Cairns | Father's Surname |
| Father's Occupation | Comrl Traveler | | Father's Nationality |
| Father's Birth Place | Scotland | 34 | Father's Age |
| Mother's Given Name | Fanny | Lynn | Mother's Maiden Name |
| Mother's Surname | Cairns | Ames Story Co IA | Mother's Residence |
| Mother's Nationality | | N F | Mother's Birth Place |
| Mother's Age | 28 | 4 | Number of Child This Mother |
| Medical Attendant's Name | D.S. Fairchild | Ames IA | Medical Attendant's Address |