81443-180368-0619

State File Number: 334

County: Salt Lake

Child's First Name: Gerald

Child's Middle Name 1: Adrian

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Player

Child's Suffix:

Sex: Male

Month of Birth (Number): 02

Day of Birth: 02

Year of Birth: 1912

Father's First Name: Joseph

Father's Middle Name 1: E

Father's Middle Name 2:

Father's Surname: Player

Father's Title or Suffix:

Mother's First Name: Alice

Mother's Middle Name 1: Mary

Mother's Middle Name 2:

Mother's Maiden Name: Wright

Is there an Amendment?: No