Pages
81443-180361-0678
State File Number: 592
County: Box Elder
Child's First Name:
Child's Middle Name 1:
Child's Middle Name 2:
Child's Middle Name 3:
Child's Surname:
Child's Suffix:
Sex: Female
Month of Birth (Number): 12
Day of Birth: 31
Year of Birth: 1912
Father's First Name: Willis
Father's Middle Name 1:
Father's Middle Name 2:
Father's Surname: Otahgary
Father's Title or Suffix:
Mother's First Name: Nancy
Mother's Middle Name 1:
Mother's Middle Name 2:
Mother's Maiden Name: Smith
Is there an Amendment?: No