81443-188580_273

State File Number: 63

County: Piute

Child's First Name:

Child's Middle Name 1:

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname:

Child's Suffix:

Sex: Female

Month of Birth (Number): 11

Day of Birth: 30

Year of Birth: 1914

Father's First Name: J

Father's Middle Name 1: B

Father's Middle Name 2:

Father's Surname: Morrison

Father's Title or Suffix:

Mother's First Name: Anna

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: McGillory

Is there an Amendment?: Yes

Document Type: Certificate of Birth