| Certificate Number | 304 | | Date Issued |
| Child Given Name | Byron Howard |
Abott | Child Surname |
| Child Sex | Male |
W | Child Race |
| Date of Birth | 01 Jan 1882 |
Union Twp Story Co IA | Place of Birth |
| Father's Given Name | William |
Abott | Father's Surname |
| Father's Occupation | Farmer | American | Father's Nationality |
| Father's Birth Place | Pennsylvania | 30 | Father's Age |
| Mother's Given Name | Mary | Ballard | Mother's Maiden Name |
| Mother's Surname | Abott | Union Twp Story Co IA | Mother's Residence |
| Mother's Nationality | American | Iowa | Mother's Birth Place |
| Mother's Age | 25 | 2 | Number of Child This Mother |
| Medical Attendant's Name | D.D. Hayes M.D. | | Medical Attendant's Address |
| Certificate Signer's Name | D.D. Hayes M.D. | | Certificate Signer's Address |
| Returned by Name | D.D. Hayes M.D. | | |