81443-180374-0357

State File Number: 3093

County: Salt Lake

Child's First Name: Robert

Child's Middle Name 1: Wayne

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Walker

Child's Suffix:

Sex: Male

Month of Birth (Number): 11

Day of Birth: 4

Year of Birth: 1912

Father's First Name: George

Father's Middle Name 1: W

Father's Middle Name 2:

Father's Surname: Walker

Father's Title or Suffix:

Mother's First Name: Mary

Mother's Middle Name 1: Jane

Mother's Middle Name 2:

Mother's Maiden Name: Nyquist

Is there an Amendment?: No