81443-180368-0832

State File Number: 417

County: Salt Lake

Child's First Name: Waneta

Child's Middle Name 1: O

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Livingston

Child's Suffix:

Sex: Female

Month of Birth (Number): 2

Day of Birth: 10

Year of Birth: 1912

Father's First Name: Robert

Father's Middle Name 1: E

Father's Middle Name 2:

Father's Surname: Livingston

Father's Title or Suffix:

Mother's First Name: Jennie

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: Anderson

Is there an Amendment?: No