| Certificate Number | 211 | | Date Issued |
| Child Given Name | Morse Steele |
Danskin | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 16 Jun 1888 |
New Albany Twp Story Co IA | Place of Birth |
| Father's Given Name | Ira M. |
Danskin | Father's Surname |
| Father's Occupation | Farmer | | Father's Nationality |
| Father's Birth Place | Illinois | 24 | Father's Age |
| Mother's Given Name | Leila | Eller | Mother's Maiden Name |
| Mother's Surname | | Colo Story Co IA | Mother's Residence |
| Mother's Nationality | | New York | Mother's Birth Place |
| Mother's Age | 24 | 1 | Number of Child This Mother |
| Medical Attendant's Name | J.I. Hostetter | Colo IA | Medical Attendant's Address |