81443-180368-0581
Facsimile
Transcription
Status: Complete
State File Number: 319
County: Salt Lake
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): 02
Day of Birth: 01
Year of Birth: 1912
Father's First Name: George
Father's Middle Name 1: P
Father's Middle Name 2:
Father's Surname: Jensen
Father's Title or Suffix:
Mother's First Name: Clara
Mother's Middle Name 1: A
Mother's Middle Name 2:
Mother's Maiden Name: Brimhall
Is there an Amendment?: No
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