81443-188583_0943
Facsimile
Transcription
Status: Complete
State File Number: 1342
County: Salt Lake
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: Choose Sex
Month of Birth (Number): 4
Day of Birth: 28
Year of Birth: 1914
Father's First Name: George
Father's Middle Name 1:
Father's Middle Name 2:
Father's Surname:
Father's Title or Suffix:
Mother's First Name: Emma
Mother's Middle Name 1:
Mother's Middle Name 2:
Mother's Maiden Name: Nelaon
Is there an Amendment?: Yes
Document Type: Certificate of Birth
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