81443-188580_282

State File Number: 66

County: Piute

Child's First Name: Edith

Child's Middle Name 1: Delna

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Munson

Child's Suffix:

Sex: Female

Month of Birth (Number): 12

Day of Birth: 19

Year of Birth: 1914

Father's First Name: Silas

Father's Middle Name 1:

Father's Middle Name 2:

Father's Surname: Munson

Father's Title or Suffix:

Mother's First Name: Serena

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: Hansen

Is there an Amendment?: Yes

Document Type: Amendment or Supplement