81443-181556_0016

State File Number: 2799

County: Salt Lake

Child's First Name: Charolotte

Child's Middle Name 1: Evelyn

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Jenkins

Child's Suffix:

Sex: Female

Month of Birth (Number): 9

Day of Birth: 20

Year of Birth: 1913

Father's First Name: James

Father's Middle Name 1: Hirst

Father's Middle Name 2:

Father's Surname: Jenkins

Father's Title or Suffix:

Mother's First Name: Helma

Mother's Middle Name 1: Matilda

Mother's Middle Name 2:

Mother's Maiden Name: Ek

Is there an Amendment?: Yes

Document Type: Certificate