81443-189327_904

State File Number: 1083

County: Weber

Child's First Name: Evelyn

Child's Middle Name 1: Jean

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Keller

Child's Suffix:

Sex: Female

Month of Birth (Number): 12

Day of Birth: 2

Year of Birth: 1914

Father's First Name: Emil

Father's Middle Name 1: L

Father's Middle Name 2:

Father's Surname: Keller

Father's Title or Suffix:

Mother's First Name: Nellie

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: Han

Is there an Amendment?: No

Document Type: Certificate of Birth