81443-188580_276

State File Number: 64

County: Piute

Child's First Name: Aileen

Child's Middle Name 1: Evelyn

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Gibbs

Child's Suffix:

Sex: Female

Month of Birth (Number): 11

Day of Birth: 28

Year of Birth: 1914

Father's First Name: Herbert

Father's Middle Name 1: Spencer

Father's Middle Name 2:

Father's Surname: Gibbs

Father's Title or Suffix:

Mother's First Name: Charlotte

Mother's Middle Name 1: Ann

Mother's Middle Name 2:

Mother's Maiden Name: Clement

Is there an Amendment?: No

Document Type: Certificate of Birth