81443-180374-0352

State File Number: 3091

County: Salt Lake

Child's First Name: Orson

Child's Middle Name 1: TOm

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Bonner

Child's Suffix:

Sex: Male

Month of Birth (Number): 11

Day of Birth: 4

Year of Birth: 1912

Father's First Name: Earl

Father's Middle Name 1:

Father's Middle Name 2:

Father's Surname: Bonner

Father's Title or Suffix:

Mother's First Name: Mabel

Mother's Middle Name 1: Clara

Mother's Middle Name 2:

Mother's Maiden Name: Snarr

Is there an Amendment?: Yes