| Certificate Number | 335 | | Date Issued |
| Child Given Name | Albert B. |
Egland | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 20 Mar 1886 |
Cambridge Story Co IA | Place of Birth |
| Father's Given Name | Thomas |
Egland | Father's Surname |
| Father's Occupation | Ditcher | | Father's Nationality |
| Father's Birth Place | Iowa | 27 | Father's Age |
| Mother's Given Name | Martha | Reed | Mother's Maiden Name |
| Mother's Surname | Egland | Cambridge Story Co IA | Mother's Residence |
| Mother's Nationality | | Norway | Mother's Birth Place |
| Mother's Age | 22 | 3 | Number of Child This Mother |
| Medical Attendant's Name | James, Mrs Rusell | Cambridge IA | Medical Attendant's Address |
| Certificate Signer's Name | A.S. Aplin | | Certificate Signer's Address |