| Child Given Name | Winthrop Kellogg |
Dyer | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 14 Oct 1889 |
Nevada Story Co IA | Place of Birth |
| Father's Given Name | Geo W. |
Dyer | Father's Surname |
| Father's Occupation | Lawyer | | Father's Nationality |
| Father's Birth Place | | 50 | Father's Age |
| Mother's Given Name | Martha A. | Kellogg | Mother's Maiden Name |
| Mother's Surname | Dyer | Nevada Story Co IA | Mother's Residence |
| Mother's Age | 33 | 2 | Number of Child This Mother |
| Medical Attendant's Name | F.S. Smith | | Medical Attendant's Address |
| Certificate Signer's Name | F.S. Smith | | Certificate Signer's Address |