81443-180374-0280

State File Number: 3064

County: Salt Lake

Child's First Name: Clara

Child's Middle Name 1:

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Hood

Child's Suffix:

Sex: Female

Month of Birth (Number): 11

Day of Birth: 01

Year of Birth: 1912

Father's First Name: Middleton

Father's Middle Name 1:

Father's Middle Name 2:

Father's Surname: Hood

Father's Title or Suffix:

Mother's First Name: Lucretia

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: Orvin

Is there an Amendment?: No