| Certificate Number | 218 | | Date Issued |
| Child Given Name | Fay |
Armstrong | Child Surname |
| Child Sex | Female |
W | Child Race |
| Date of Birth | 03 Sep 1888 |
Nevada Story Co IA | Place of Birth |
| Father's Given Name | H.A. |
Armstrong | Father's Surname |
| Father's Occupation | Barber | | Father's Nationality |
| Father's Birth Place | Nevada IA | 28 | Father's Age |
| Mother's Given Name | Emma | Fifer | Mother's Maiden Name |
| Mother's Surname | Armstrong | Nevada Story Co IA | Mother's Residence |
| Mother's Nationality | | Wisconson | Mother's Birth Place |
| Mother's Age | 22 | 1 | Number of Child This Mother |
| Medical Attendant's Name | H.D. Chamberlain | Nevada IA | Medical Attendant's Address |