81443-188580_288
Facsimile
Transcription
Status: Complete
State File Number: 68
County: Piute
Child's First Name: Owen
Child's Middle Name 1: Joseph
Child's Middle Name 2:
Child's Middle Name 3:
Child's Surname: Jensen
Child's Suffix:
Sex: Male
Month of Birth (Number): 12
Day of Birth: 25
Year of Birth: 1914
Father's First Name: Edvin
Father's Middle Name 1:
Father's Middle Name 2:
Father's Surname: Jensen
Father's Title or Suffix:
Mother's First Name: Violet
Mother's Middle Name 1:
Mother's Middle Name 2:
Mother's Maiden Name: Howes
Is there an Amendment?: Yes
Document Type: Amendment or Supplement
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