81443-188580_271

State File Number: 62

County: Piute

Child's First Name: Laura

Child's Middle Name 1: Petrina

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Rasmussen

Child's Suffix:

Sex: Female

Month of Birth (Number): 11

Day of Birth: 20

Year of Birth: 1914

Father's First Name: Rastus

Father's Middle Name 1:

Father's Middle Name 2:

Father's Surname: Rasmussen

Father's Title or Suffix:

Mother's First Name: Lavern

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: HuntRasus

Is there an Amendment?: No

Document Type: Certificate of Birth