81443-181555_1165

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Status: Complete

State File Number:

County: Salt Lake

Child's First Name: Maxine

Child's Middle Name 1:

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Blundell

Child's Suffix:

Sex: Choose Sex

Month of Birth (Number): 9

Day of Birth: 20

Year of Birth: 1913

Father's First Name: Henry

Father's Middle Name 1: James

Father's Middle Name 2:

Father's Surname: Blundell

Father's Title or Suffix:

Mother's First Name: Eliza

Mother's Middle Name 1: Ellen

Mother's Middle Name 2:

Mother's Maiden Name: Terry

Is there an Amendment?: No

Document Type: Amendment or Supplement

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This supplement has been separated from its associated certificate.