81443-180362-0647

State File Number: 399

County: Cache

Child's First Name: Robert

Child's Middle Name 1:

Child's Middle Name 2:

Child's Middle Name 3:

Child's Surname: Kraus

Child's Suffix:

Sex: Male

Month of Birth (Number): 8

Day of Birth: 29

Year of Birth: 1912

Father's First Name: Julius

Father's Middle Name 1:

Father's Middle Name 2:

Father's Surname: Kraus

Father's Title or Suffix:

Mother's First Name: Eugenia

Mother's Middle Name 1:

Mother's Middle Name 2:

Mother's Maiden Name: Meier

Is there an Amendment?: No