81443-180360-0350

State File Number:

County: Beaver

Child's First Name: Chloe

Child's Middle Name 1:

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Boyter

Child's Suffix:

Sex: Female

Month of Birth (Number): 9

Day of Birth: 5

Year of Birth: 1912

Father's First Name: Henry

Father's Middle Name 1:

Father's Middle Name 2:

Father's Surname: Boyter

Father's Title or Suffix:

Mother's First Name: May

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: Riley

Is there an Amendment?: Yes