81443-180360-0104
Facsimile
Transcription
Status: Complete
State File Number: 160
County: Beaver
Child's First Name: Josie
Child's Middle Name 1: Marie
Child's Middle Name 2:
Child's Middle Name 3:
Child's Surname: Puffer
Child's Suffix:
Sex: Female
Month of Birth: 3
Day of Birth: 5
Year of Birth: 1912
Father's First Name: Perry
Father's Middle Name 1:
Father's Middle Name 2:
Father's Surname: Puffer
Father's Title or Suffix:
Mother's First Name: Josie
Mother's Middle Name 1: Alvira
Mother's Middle Name 2:
Mother's Maiden Name: Hoops
Is there an Amendment?: No
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