81443-181545_0035

State File Number: 214

County: Carbon

Child's First Name: Clifford

Child's Middle Name 1: James

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Scotson

Child's Suffix:

Sex: Choose Sex

Month of Birth (Number): 7

Day of Birth: 13

Year of Birth: 1913

Father's First Name: Thomas

Father's Middle Name 1:

Father's Middle Name 2:

Father's Surname: Scotson

Father's Title or Suffix:

Mother's First Name: Hanna

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: McGann

Is there an Amendment?: No

Document Type: Certificate