| Certificate Number | 328 | | Date Issued |
| Child Given Name | |
Hannegan | Child Surname |
| Child Sex | Male |
| Child Race |
| Date of Birth | 05 Dec 1881 |
Washington Twp Story Co IA | Place of Birth |
| Father's Given Name | Joseph |
Hannegan | Father's Surname |
| Father's Occupation | Farmer | American | Father's Nationality |
| Father's Birth Place | Ohio | 21 | Father's Age |
| Mother's Given Name | Alice | Tunier | Mother's Maiden Name |
| Mother's Surname | Hannegan | | Mother's Residence |
| Mother's Nationality | American | Missouri | Mother's Birth Place |
| Mother's Age | 22 | 2 | Number of Child This Mother |
| Medical Attendant's Name | R.H. Sharp M.D. | Kelley IA | Medical Attendant's Address |
| Certificate Signer's Name | R.H. Sharp M.D. | Kelley IA | Certificate Signer's Address |
| Returned by Name | R.H. Sharp M.D. | | |