| Certificate Number | 54 | | Date Issued |
| Child Given Name | Ennal Kate |
Hale | Child Surname |
| Child Sex | Female |
| Child Race |
| Date of Birth | 19 Sep 1880 |
Cambridge Story Co IA | Place of Birth |
| Father's Given Name | Bernard A. |
Hale | Father's Surname |
| Father's Occupation | Druggist | American | Father's Nationality |
| Father's Birth Place | New York | 24 | Father's Age |
| Mother's Given Name | Alice R. | Keiser | Mother's Maiden Name |
| Mother's Surname | Hale | Cambridge Story Co IA | Mother's Residence |
| Mother's Nationality | American | Iowa | Mother's Birth Place |
| Mother's Age | 22 | 1 | Number of Child This Mother |