81443-180374-0330

State File Number: 3082

County: Salt Lake

Child's First Name: Sidney

Child's Middle Name 1: William

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Hilson

Child's Suffix:

Sex: Male

Month of Birth (Number): 11

Day of Birth: 3

Year of Birth: 1912

Father's First Name: Ike

Father's Middle Name 1:

Father's Middle Name 2:

Father's Surname: Hilson

Father's Title or Suffix:

Mother's First Name: PEarl

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: Hosn

Is there an Amendment?: No